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General NPI Number Information
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NPI Number | 1083571491
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Entity Type | Organization
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Legal Business Name | EDNI COUNSELING SERVICES, LLC.
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Dates
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Enumeration Date | 01/07/2026
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 110 KINDERKAMACK RD STE 2D
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City | EMERSON
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State | NJ
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Zip | 07630-1854
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Country | US
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Telephone | 201-546-5634
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Fax |
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Provider Business Mailing Address
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Address Line | 1561 LEMOINE AVE APT 2E
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City | FORT LEE
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State | NJ
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Zip | 07024-5625
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Country | US
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Telephone | 201-780-1726
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Fax |
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Authorized Official
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Title or Position | MENTAL HEALTH COUNSELOR
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Name | MICHAEL TEKELLY
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Credential | LPC
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Telephone | 201-780-1726
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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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