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NPI 1124501648

NPI 1124501648 : TONI ANTOINETTE LABARBERA LMHC, CASAC-T : MELVILLE, NY

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General NPI Number Information
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    NPI Number           |    1124501648
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    Entity Type          |    Individual 
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    Provider Name        |    TONI ANTOINETTE LABARBERA LMHC, CASAC-T
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/11/2018
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    Last Update Date     |    06/02/2025
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Provider Practice Location Address
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    Address Line         |    275 BROADHOLLOW RD STE 120 
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    City                 |    MELVILLE
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    State                |    NY
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    Zip                  |    11747-4863
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    Country              |    US
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    Telephone            |    845-279-5908
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    Fax                  |    845-622-5055
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Provider Business Mailing Address
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    Address Line         |    275 BROADHOLLOW RD STE 120 
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    City                 |    MELVILLE
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    State                |    NY
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    Zip                  |    11747-4863
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    Country              |    US
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    Telephone            |    845-279-5908
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    Fax                  |    845-622-5055
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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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       |    32804
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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       |    013929
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    License Number State |    NY
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