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General NPI Number Information
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NPI Number | 1356011704
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Entity Type | Organization
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Legal Business Name | RONDA COLLINS MENTAL HEALTH COUNSELING, PLLC
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Dates
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Enumeration Date | 09/16/2021
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Last Update Date | 09/16/2021
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Provider Practice Location Address
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Address Line | 516 VANDALIA AVE
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City | BROOKLYN
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State | NY
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Zip | 11239-2832
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Country | US
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Telephone | 347-489-3838
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Fax |
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Provider Business Mailing Address
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Address Line | 620 WILSON AVE # 239
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City | BROOKLYN
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State | NY
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Zip | 11207-2175
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Country | US
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Telephone | 347-489-3838
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MISS RONDA O COLLINS
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Credential | LMHC
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Telephone | 347-489-3838
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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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