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General NPI Number Information
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NPI Number | 1083415749
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Entity Type | Organization
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Legal Business Name | LAURA CARUSO LICENSED MENTAL HEALTH COUNSELOR PLLC
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Dates
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Enumeration Date | 03/20/2025
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Last Update Date | 03/20/2025
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Provider Practice Location Address
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Address Line | 516 12TH ST APT 2B
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City | BROOKLYN
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State | NY
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Zip | 11215-7028
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Country | US
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Telephone | 917-750-4843
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Fax |
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Provider Business Mailing Address
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Address Line | 516 12TH ST APT 2B
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City | BROOKLYN
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State | NY
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Zip | 11215-7028
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Country | US
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Telephone | 732-864-6102
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Fax |
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Authorized Official
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Title or Position | FOUNDER & CLINICAL DIRECTOR
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Name | LAURA E CARUSO
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Credential | MA
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Telephone | 917-750-4843
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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