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General NPI Number Information
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NPI Number | 1255286399
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Entity Type | Organization
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Legal Business Name | CUP OF TEA COUNSELING, LLC
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Dates
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Enumeration Date | 03/03/2026
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Last Update Date | 03/03/2026
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Provider Practice Location Address
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Address Line | 918 LACEY RD STE A
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City | FORKED RIVER
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State | NJ
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Zip | 08731-1063
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Country | US
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Telephone | 571-669-3400
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Fax |
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Provider Business Mailing Address
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Address Line | 320 WHEATON AVE
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City | BAYVILLE
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State | NJ
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Zip | 08721-2104
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MELISSA STEVENS
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Credential | LPC
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Telephone | 571-669-3400
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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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