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General NPI Number Information
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NPI Number | 1346129517
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Entity Type | Organization
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Legal Business Name | THE COLORFUL COUCH MENTAL HEALTH COUNSELING PLLC
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Dates
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Enumeration Date | 09/01/2025
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 49 WINCHESTER RD
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City | ROCHESTER
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State | NY
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Zip | 14617-2938
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Country | US
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Telephone | 910-333-2155
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Fax |
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Provider Business Mailing Address
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Address Line | 49 WINCHESTER RD
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City | ROCHESTER
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State | NY
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Zip | 14617-2938
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Country | US
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Telephone | 860-410-6084
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Fax | 855-704-9290
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Authorized Official
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Title or Position | OWNER
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Name | MR. STANLEY FERNANDEZ
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Credential | LMHC
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Telephone | 910-333-2155
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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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