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General NPI Number Information
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NPI Number | 1356168199
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Entity Type | Organization
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Legal Business Name | MELODY MINDS MENTAL HEALTH COUNSELING
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Dates
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Enumeration Date | 09/23/2024
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Last Update Date | 02/02/2025
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Provider Practice Location Address
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Address Line | 686 BEAR SWAMP RD
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City | PERU
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State | NY
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Zip | 12972-4804
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Country | US
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Telephone | 518-394-0100
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Fax | 518-299-1522
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Provider Business Mailing Address
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Address Line | PO BOX 859
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City | PERU
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State | NY
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Zip | 12972-0859
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SARA SPEAR
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Credential | LMHC
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Telephone | 518-394-0100
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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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