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NPI 1245047570

NPI 1245047570 : PARAMOUNT COUNSELING CENTER LLC : PAOLI, PA

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General NPI Number Information
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    NPI Number           |    1245047570
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    Entity Type          |    Organization 
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    Legal Business Name  |    PARAMOUNT COUNSELING CENTER LLC 
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Dates
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    Enumeration Date     |    12/11/2024
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    Last Update Date     |    12/11/2024
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Provider Practice Location Address
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    Address Line         |    30 S VALLEY RD STE 210 
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    City                 |    PAOLI
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    State                |    PA
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    Zip                  |    19301-1473
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    Country              |    US
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    Telephone            |    484-868-1706
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    710 JONATHAN DR 
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    City                 |    KING OF PRUSSIA
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    State                |    PA
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    Zip                  |    19406-1730
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    Country              |    US
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    Telephone            |    484-868-1706
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     JUSTYNA  WESTBROOK 
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    Credential           |    LPC
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    Telephone            |    484-868-1706
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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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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