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General NPI Number Information
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NPI Number | 1326768482
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Entity Type | Individual
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Provider Name | ELLEN FORD LMHC
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Gender | Female
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Dates
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Enumeration Date | 08/30/2022
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Last Update Date | 03/18/2025
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Provider Practice Location Address
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Address Line | 6 BEAR BROOK CT
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City | CLIFTON PARK
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State | NY
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Zip | 12065-2738
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Country | US
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Telephone | 516-366-2582
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Fax |
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Provider Business Mailing Address
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Address Line | 54 HARRISON PL APT 2R
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City | BROOKLYN
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State | NY
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Zip | 11237-1425
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Country | US
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Telephone | 918-440-1993
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 015599
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License Number State | NY
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