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NPI 1316857808

NPI 1316857808 : SAMMON SAFE THERAPY, LLC : NORTH ARLINGTON, NJ

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General NPI Number Information
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    NPI Number           |    1316857808
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    Entity Type          |    Organization 
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    Legal Business Name  |    SAMMON SAFE THERAPY, LLC 
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Dates
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    Enumeration Date     |    09/09/2026
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    Last Update Date     |    09/09/2026
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Provider Practice Location Address
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    Address Line         |    170 GOLD ST APT F 
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    City                 |    NORTH ARLINGTON
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    State                |    NJ
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    Zip                  |    07031-5225
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    Country              |    US
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    Telephone            |    201-640-3502
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    170 GOLD ST APT F 
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    City                 |    NORTH ARLINGTON
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    State                |    NJ
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    Zip                  |    07031-5225
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    Country              |    US
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    Telephone            |    201-640-3502
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MRS. DIANE E SAMMON 
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    Credential           |    LPC
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    Telephone            |    201-640-3502
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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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