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General NPI Number Information
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NPI Number | 1407767866
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Entity Type | Organization
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Legal Business Name | SOUL WAVE WELLNESS SERVICES LCSW PLLC
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Dates
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Enumeration Date | 09/15/2026
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Last Update Date | 09/15/2026
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Provider Practice Location Address
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Address Line | 44 EUCLID AVE
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City | BROOKLYN
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State | NY
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Zip | 11208-1489
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Country | US
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Telephone | 917-513-9571
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Fax |
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Provider Business Mailing Address
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Address Line | 928 FULTON STREET PMB 1001
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City | BROOKLYN
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State | NY
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Zip | 11238-6909
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Country | US
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Telephone | 917-992-0449
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SHANIRA DEL CARMEN GRIFFITH
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Credential | LCSW
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Telephone | 917-992-0449
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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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