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General NPI Number Information
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NPI Number | 1114414968
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Entity Type | Organization
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Legal Business Name | BEHAVIORAL HEALTH NAVIGATION SREVICES
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Dates
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Enumeration Date | 04/17/2018
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Last Update Date | 04/17/2018
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Provider Practice Location Address
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Address Line | 160 E 84TH ST SUITE 9B
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City | NEW YORK
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State | NY
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Zip | 10028-0057
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Country | US
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Telephone | --
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Fax |
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Provider Business Mailing Address
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Address Line | 160 E 84TH ST SUITE 9B
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City | NEW YORK
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State | NY
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Zip | 10028-0057
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | FOUNDER / CEO
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Name | BLAIN NAMM
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Credential | LMSW, CASAC
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Telephone | 212-423-0702
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 28520
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 093601
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 093601
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 093601
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License Number State | NY
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Taxonomy #5
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number | 093601
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License Number State | NY
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Taxonomy #6
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number | 093601
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License Number State | NY
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Taxonomy #7
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Taxonomy Code | 221700000X
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Taxonomy Name | Art Therapist
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License Number | 093601
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License Number State | NY
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Taxonomy #8
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Taxonomy Code | 405300000X
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Taxonomy Name | Prevention Professional
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License Number | 28520
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License Number State | NY
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Taxonomy #9
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number | 093601
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License Number State | NY
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