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General NPI Number Information
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NPI Number | 1114301983
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Entity Type | Organization
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Legal Business Name | URGENT HOUSING INITIATIVES INC
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Dates
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Enumeration Date | 07/12/2015
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 576 LOGAN ST STE 2
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City | BROOKLYN
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State | NY
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Zip | 11208-3702
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Country | US
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Telephone | 929-526-8414
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Fax | 646-905-8487
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Provider Business Mailing Address
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Address Line | 576 LOGAN ST STE 2
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City | BROOKLYN
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State | NY
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Zip | 11208-3702
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Country | US
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Telephone | 929-526-8414
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Fax | 646-905-8486
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Authorized Official
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Title or Position | CEO
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Name | MR. DERRICK RICHARD I
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Credential | MPS
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Telephone | 929-526-8414
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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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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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