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General NPI Number Information
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NPI Number | 1215332721
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Entity Type | Organization
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Legal Business Name | VICTORIA MORABITO, MENTAL HEALTH COUNSELING, PLLC
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Dates
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Enumeration Date | 10/27/2014
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Last Update Date | 10/27/2014
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Provider Practice Location Address
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Address Line | 75 PROSPECT ST SUITE 109
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City | HUNTINGTON
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State | NY
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Zip | 11743-3382
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Country | US
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Telephone | 631-670-6980
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Fax | 631-670-6746
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Provider Business Mailing Address
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Address Line | 150 VETERANS MEMORIAL HWY #555
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City | COMMACK
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State | NY
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Zip | 11725-6503
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Country | US
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Telephone | 631-670-6980
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Fax | 631-670-6746
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Authorized Official
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Title or Position | OPERATING MANAGER
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Name | MRS. VICTORIA MORABITO
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Credential | LMHC
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Telephone | 631-670-6980
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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 | 004801
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License Number State | NY
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