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General NPI Number Information
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NPI Number | 1285514943
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Entity Type | Organization
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Legal Business Name | MINDSET THERAPY LCSW PC
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Dates
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Enumeration Date | 09/04/2025
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Last Update Date | 09/04/2025
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Provider Practice Location Address
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Address Line | 1975 HEMPSTEAD TPKE
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City | EAST MEADOW
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State | NY
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Zip | 11554-1758
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Country | US
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Telephone | 516-939-8867
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Fax |
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Provider Business Mailing Address
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Address Line | 18 SEITZ DR
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City | BETHPAGE
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State | NY
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Zip | 11714-6017
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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 | ABY G CHACKO
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Credential |
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Telephone | 516-939-8867
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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