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General NPI Number Information
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NPI Number | 1093698441
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Entity Type | Organization
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Legal Business Name | HAUS OF WELLNESS, LLC.
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Dates
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Enumeration Date | 07/30/2025
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 314 E 100TH ST APT 2E
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City | NEW YORK
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State | NY
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Zip | 10029-6617
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Country | US
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Telephone | 646-934-1490
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Fax |
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Provider Business Mailing Address
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Address Line | 99 WALL ST # 2387
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City | NEW YORK
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State | NY
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Zip | 10005-4301
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Country | US
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Telephone | 646-934-1490
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Fax |
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Authorized Official
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Title or Position | OWNER OF PRACTICE
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Name | LYNAE WELCH
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Credential | LMHC
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Telephone | 646-934-1490
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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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