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NPI 1285370916

NPI 1285370916 : TREZZA COUNSELING GROUP LLC : NEW MILFORD, CT

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General NPI Number Information
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    NPI Number           |    1285370916
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    Entity Type          |    Organization 
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    Legal Business Name  |    TREZZA COUNSELING GROUP LLC 
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Dates
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    Enumeration Date     |    05/06/2022
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    Last Update Date     |    05/19/2025
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Provider Practice Location Address
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    Address Line         |    165 CHESTNUT LAND RD 
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    City                 |    NEW MILFORD
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    State                |    CT
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    Zip                  |    06776-2519
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    Country              |    US
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    Telephone            |    860-488-2947
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    165 CHESTNUT LAND RD 
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    City                 |    NEW MILFORD
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    State                |    CT
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    Zip                  |    06776-2519
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    Country              |    US
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    Telephone            |    860-799-4008
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    Fax                  |    
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Authorized Official
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    Title or Position    |    THERAPIST
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    Name                 |     SYDNEY MARIE TREZZA KNAKE 
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    Credential           |    LPC, LMHC, NCC
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    Telephone            |    860-488-2947
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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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