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NPI 1033789235

NPI 1033789235 : ESPECIALLY YOU, LLC : NEW YORK, NY

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General NPI Number Information
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    NPI Number           |    1033789235
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    Entity Type          |    Organization 
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    Legal Business Name  |    ESPECIALLY YOU, LLC 
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Dates
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    Enumeration Date     |    06/29/2021
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    Last Update Date     |    10/11/2023
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Provider Practice Location Address
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    Address Line         |    812 RIVERSIDE DR APT 22 
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10032-5480
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    Country              |    US
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    Telephone            |    646-901-0797
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    812 RIVERSIDE DR APT 22 
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10032-5480
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    Country              |    US
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    Telephone            |    646-901-0797
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    Fax                  |    
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Authorized Official
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    Title or Position    |    FOUNDER / THERAPIST
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    Name                 |    MS. PERRIN  AVENT 
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    Credential           |    LCAT, ATR-BC, MS
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    Telephone            |    646-901-0797
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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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