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General NPI Number Information
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NPI Number | 1194512053
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Entity Type | Organization
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Legal Business Name | INCLUSIVE MENTAL HEALTH COUNCELING PLLC
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Dates
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Enumeration Date | 04/23/2025
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Last Update Date | 05/30/2025
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Provider Practice Location Address
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Address Line | 1655 E 19TH ST
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City | BROOKLYN
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State | NY
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Zip | 11229-1311
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Country | US
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Telephone | 347-729-0157
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Fax |
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Provider Business Mailing Address
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Address Line | 1655 E 19TH ST
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City | BROOKLYN
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State | NY
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Zip | 11229-1311
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Country | US
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Telephone | 347-729-0157
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Fax |
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Authorized Official
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Title or Position | LICENSED MENTAL HEALTH COUNCELOR
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Name | MRS. MANDY GOLDSTEIN
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Credential | LMHC-D
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Telephone | 718-974-0563
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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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