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General NPI Number Information
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NPI Number | 1386045573
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Entity Type | Organization
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Legal Business Name | RESOLVE MENTAL HEALTH COUNSELING PRACTICE, PLLC
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Dates
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Enumeration Date | 09/08/2014
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Last Update Date | 09/08/2014
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Provider Practice Location Address
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Address Line | 19 W 34TH ST PH
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City | NEW YORK
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State | NY
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Zip | 10001-3006
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Country | US
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Telephone | 347-963-7348
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Fax | 855-267-4365
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Provider Business Mailing Address
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Address Line | 208 E 51ST ST #274
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City | NEW YORK
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State | NY
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Zip | 10022-6557
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Country | US
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Telephone | 347-463-7348
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Fax | 855-267-4365
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Authorized Official
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Title or Position | PRESIDENT, PSYCHOTHERAPIST
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Name | RENEE ROBERTS
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Credential | LMHC, CCMHC, CASAC
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Telephone | 347-963-7348
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 5663
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License Number State | NY
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