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NPI 1255082715

NPI 1255082715 : ALLEANA MELENDEZ-MARTINEZ LMFT, LLC : TRUMBULL, CT

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General NPI Number Information
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    NPI Number           |    1255082715
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    Entity Type          |    Organization 
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    Legal Business Name  |    ALLEANA MELENDEZ-MARTINEZ LMFT, LLC 
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Dates
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    Enumeration Date     |    01/15/2022
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    Last Update Date     |    01/15/2022
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Provider Practice Location Address
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    Address Line         |    2 CORPORATE DR STE 203 
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    City                 |    TRUMBULL
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    State                |    CT
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    Zip                  |    06611-1376
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    Country              |    US
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    Telephone            |    203-520-4321
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2 CORPORATE DR STE 203 
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    City                 |    TRUMBULL
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    State                |    CT
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    Zip                  |    06611-1376
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    Country              |    US
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    Telephone            |    203-520-4321
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    Fax                  |    
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Authorized Official
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    Title or Position    |    THERAPIST
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    Name                 |     ALLEANA  MELENDEZ-MARTINEZ 
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    Credential           |    LMFT
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    Telephone            |    203-520-4321
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QM0855X
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    Taxonomy Name        |    Adolescent and Children Mental Health Clinic/Center
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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        |    261QM0850X
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    Taxonomy Name        |    Adult Mental Health Clinic/Center
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    License Number       |    
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    License Number State |    
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