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General NPI Number Information
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NPI Number | 1164133146
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Entity Type | Organization
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Legal Business Name | THERAPY CONNECTIONS LCSW PLLC
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Dates
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Enumeration Date | 12/09/2022
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Last Update Date | 12/09/2022
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Provider Practice Location Address
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Address Line | 224 FRANKLIN AVE STE 10
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City | HEWLETT
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State | NY
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Zip | 11557-1928
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Country | US
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Telephone | 516-421-7500
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Fax | 516-421-7501
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Provider Business Mailing Address
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Address Line | 1245 HEWLETT PLZ UNIT 133
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City | HEWLETT
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State | NY
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Zip | 11557-4006
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Country | US
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Telephone | 516-421-7500
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Fax | 516-421-7501
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. MIROSLAVA L PRADELLA
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Credential | LCSW-R, CASAC
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Telephone | 516-421-7500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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