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General NPI Number Information
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NPI Number | 1164319786
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Entity Type | Organization
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Legal Business Name | MADELYN REILLY COUNSELING
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Dates
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Enumeration Date | 06/18/2025
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 1018 N BETHLEHEM PIKE STE 203B
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City | AMBLER
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State | PA
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Zip | 19002-2186
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Country | US
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Telephone | 215-900-3983
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Fax |
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Provider Business Mailing Address
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Address Line | 127 GREENWOOD AVE
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City | AMBLER
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State | PA
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Zip | 19002-4704
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Country | US
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Telephone | 215-900-3983
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MADELYN B REILLY
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Credential | LPC
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Telephone | 215-900-3983
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133NN1002X
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Taxonomy Name | Nutrition Education Nutritionist
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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 | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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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 | 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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