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General NPI Number Information
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NPI Number | 1144973009
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Entity Type | Organization
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Legal Business Name | REACHING RESILIENCE THERAPY, LCSW, PLLC
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Dates
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Enumeration Date | 02/01/2022
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Last Update Date | 02/01/2022
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Provider Practice Location Address
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Address Line | 24912 ELKMONT AVE
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City | BELLEROSE
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State | NY
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Zip | 11426-2631
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Country | US
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Telephone | 646-300-3089
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Fax |
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Provider Business Mailing Address
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Address Line | 242 E 60TH ST APT 4N
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City | NEW YORK
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State | NY
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Zip | 10022-1458
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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 | CO-FOUNDER AND PSYCHOTHERAPIST
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Name | VANESSA ZINKE
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Credential | LCSW
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Telephone | 646-300-3089
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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