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General NPI Number Information
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NPI Number | 1386341337
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Entity Type | Organization
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Legal Business Name | TM MENTAL HEALTH COUNSELING PLLC
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Dates
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Enumeration Date | 02/10/2023
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Last Update Date | 02/10/2023
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Provider Practice Location Address
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Address Line | 120 W 112TH ST APT 1C
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City | NEW YORK
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State | NY
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Zip | 10026-3731
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Country | US
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Telephone | 347-546-1443
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Fax |
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Provider Business Mailing Address
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Address Line | 120 W 112TH ST APT 1C
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City | NEW YORK
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State | NY
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Zip | 10026-3731
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Country | US
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Telephone | 347-546-1443
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. TERRANCE ORLANDO MARTIN JR.
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Credential | LMHC, CASAC-ADV.
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Telephone | 347-546-1443
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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