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General NPI Number Information
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NPI Number | 1194488437
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Entity Type | Organization
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Legal Business Name | ABBOTT MENTAL HEALTH COUNSELING, PLLC
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Dates
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Enumeration Date | 10/13/2021
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Last Update Date | 10/13/2021
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Provider Practice Location Address
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Address Line | 50 E 42ND ST RM 1501B
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City | NEW YORK
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State | NY
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Zip | 10017-5423
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Country | US
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Telephone | 347-927-1155
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Fax |
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Provider Business Mailing Address
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Address Line | 599 4TH AVE APT 7A
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City | BROOKLYN
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State | NY
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Zip | 11215-6370
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Country | US
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Telephone | 917-528-9806
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | SCOTT ABBOTT
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Credential | LMHC
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Telephone | 347-927-1155
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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 |
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License Number State |
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