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General NPI Number Information
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NPI Number | 1174347694
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Entity Type | Individual
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Provider Name | ALEX LACHEY LMHC-LP
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Gender |
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Dates
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Enumeration Date | 11/12/2024
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Last Update Date | 11/12/2024
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Provider Practice Location Address
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Address Line | 322 8TH AVE
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City | NEW YORK
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State | NY
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Zip | 10001-8001
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Country | US
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Telephone | 212-243-2830
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Fax |
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Provider Business Mailing Address
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Address Line | 274 W 115TH ST APT 2B
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City | NEW YORK
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State | NY
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Zip | 10026-2400
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Country | US
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Telephone | 937-903-9133
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Fax |
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | P127030
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License Number State | NY
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