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General NPI Number Information
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NPI Number | 1023974607
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Entity Type | Organization
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Legal Business Name | INNER WELL MENTAL HEALTH COUNSELING PLLC
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Dates
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Enumeration Date | 12/29/2025
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Last Update Date | 12/29/2025
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Provider Practice Location Address
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Address Line | 2331 STATE ROUTE 17K
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City | MONTGOMERY
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State | NY
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Zip | 12549-1800
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Country | US
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Telephone | 845-500-6375
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Fax | 845-709-8135
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Provider Business Mailing Address
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Address Line | 2331 STATE ROUTE 17K
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City | MONTGOMERY
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State | NY
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Zip | 12549-1800
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Country | US
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Telephone | 845-500-6375
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Fax | 845-709-8135
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Authorized Official
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Title or Position | OWNER
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Name | ERIKA H RODRIGUEZ
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Credential | LMHC
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Telephone | 845-500-0372
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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