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General NPI Number Information
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NPI Number | 1114742012
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Entity Type | Organization
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Legal Business Name | INNER SERENITY COUNSELING LLC
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Dates
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Enumeration Date | 11/18/2024
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Last Update Date | 07/04/2025
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Provider Practice Location Address
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Address Line | 666 PLAINSBORO RD STE 1050
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City | PLAINSBORO
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State | NJ
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Zip | 08536-3044
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Country | US
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Telephone | 201-472-9804
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Fax |
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Provider Business Mailing Address
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Address Line | 666 PLAINSBORO RD STE 1050
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City | PLAINSBORO
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State | NJ
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Zip | 08536-3044
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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 | EXECUTIVE DIRECTOR
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Name | MR. KAUSHIK SIL
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Credential |
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Telephone | 630-850-0687
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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 | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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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 | 225XM0800X
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Taxonomy Name | Mental Health Occupational Therapist
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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