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General NPI Number Information
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NPI Number | 1306577598
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Entity Type | Organization
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Legal Business Name | HARMONY HAVEN COUNSELING PLLC
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Dates
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Enumeration Date | 06/20/2022
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Last Update Date | 04/04/2024
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Provider Practice Location Address
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Address Line | 244 5TH AVE STE 2774
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City | NEW YORK
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State | NY
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Zip | 10001-7604
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Country | US
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Telephone | 212-301-2644
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Fax |
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Provider Business Mailing Address
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Address Line | 244 5TH AVE STE 2774
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City | NEW YORK
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State | NY
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Zip | 10001-7604
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Country | US
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Telephone | 866-283-7036
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | ILIJHA-ESRAEL BASTIEN
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Credential | LPC
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Telephone | 929-318-6373
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community 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 | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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Taxonomy #6
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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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Taxonomy #7
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 344600000X
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Taxonomy Name | Taxi
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License Number |
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License Number State |
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Taxonomy #9
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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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