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General NPI Number Information
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NPI Number | 1316560550
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Entity Type | Organization
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Legal Business Name | BESPOKE MENTAL HEALTH COUNSELING
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Dates
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Enumeration Date | 05/22/2020
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Last Update Date | 05/22/2020
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Provider Practice Location Address
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Address Line | 30 E END AVE APT 1C
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City | NEW YORK
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State | NY
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Zip | 10028-7097
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Country | US
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Telephone | 917-670-9780
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Fax |
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Provider Business Mailing Address
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Address Line | 30 E END AVE APT 1C
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City | NEW YORK
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State | NY
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Zip | 10028-7097
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Country | US
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Telephone | 917-670-9780
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Fax |
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Authorized Official
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Title or Position | LICENSED MENTAL HEALTH COUNSELOR
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Name | LIMOR WEINSTEIN
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Credential | MA.LMHC
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Telephone | 917-670-9780
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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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