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General NPI Number Information
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NPI Number | 1194671164
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Entity Type | Organization
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Legal Business Name | EMBODIED PATH, MENTAL HEALTH COUNSELING, PLLC
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Dates
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Enumeration Date | 03/10/2026
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Last Update Date | 03/10/2026
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Provider Practice Location Address
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Address Line | 91 LAKE RD.
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City | GREENLAWN
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State | NY
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Zip | 11740
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Country | US
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Telephone | 516-973-3648
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Fax | 516-748-5932
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Provider Business Mailing Address
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Address Line | 223 WALL ST # 1043
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City | HUNTINGTON
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State | NY
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Zip | 11743-2060
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Country | US
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Telephone | 516-973-3648
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Fax | 516-748-5932
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Authorized Official
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Title or Position | LMHC
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Name | JESSICA TAYLOR NUZZI
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Credential |
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Telephone | 516-973-3648
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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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