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General NPI Number Information
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NPI Number | 1205524816
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Entity Type | Organization
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Legal Business Name | COMPASS ROSE CREATIVE ARTS THERAPY AND MENTAL HEALTH COUNSELING PLLC
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Dates
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Enumeration Date | 05/01/2023
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Last Update Date | 05/01/2023
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Provider Practice Location Address
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Address Line | 100 N VILLAGE AVE STE 36
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City | ROCKVILLE CENTRE
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State | NY
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Zip | 11570-3712
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Country | US
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Telephone | 516-526-4470
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Fax |
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Provider Business Mailing Address
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Address Line | 565 MERRICK RD UNIT 204
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City | ROCKVILLE CENTRE
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State | NY
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Zip | 11570-6600
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Country | US
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Telephone | 516-526-4470
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JUSTINE SCARINZI
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Credential | LMHC
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Telephone | 516-526-4470
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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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