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General NPI Number Information
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NPI Number | 1114682192
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Entity Type | Organization
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Legal Business Name | MONARCH MENTAL HEALTH COUNSELING
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Dates
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Enumeration Date | 11/03/2021
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Last Update Date | 11/03/2021
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Provider Practice Location Address
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Address Line | 165 N VILLAGE AVE STE 114A
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City | ROCKVILLE CENTRE
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State | NY
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Zip | 11570-3701
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Country | US
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Telephone | 516-699-1804
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Fax | 516-261-7146
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Provider Business Mailing Address
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Address Line | 45 NEMETH ST
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City | MALVERNE
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State | NY
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Zip | 11565-1529
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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 | OWNER/THERAPIST
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Name | MRS. ADRIANA SCOTT-WOLF
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Credential | LMHC
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Telephone | 516-699-1804
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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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