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General NPI Number Information
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NPI Number | 1417066697
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Entity Type | Organization
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Legal Business Name | SWEET HOLLOW COUNSELING CENTER, INC.
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 95 OLD COUNTRY RD
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City | MELVILLE
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State | NY
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Zip | 11747-2005
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Country | US
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Telephone | 631-367-6610
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Fax | 516-922-9482
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Provider Business Mailing Address
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Address Line | 95 OLD COUNTRY RD
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City | MELVILLE
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State | NY
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Zip | 11747-2005
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Country | US
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Telephone | 631-367-6610
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Fax | 516-922-9482
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Authorized Official
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Title or Position | PRESIDENT/ DIRECTOR
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Name | B JOY RACANELLI
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Credential | LCSW
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Telephone | 631-367-6610
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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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