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General NPI Number Information
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NPI Number | 1427373018
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Entity Type | Individual
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Provider Name | ELISSA SHEINKIN LMHC, NCC
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Gender | Female
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Dates
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Enumeration Date | 04/07/2010
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Last Update Date | 07/03/2019
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Provider Practice Location Address
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Address Line | 12773 FOREST HILL BLVD STE 214
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City | WELLINGTON
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State | FL
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Zip | 33414-4762
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Country | US
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Telephone | 561-676-0107
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Fax |
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Provider Business Mailing Address
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Address Line | 130 SWORD FERN PL
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City | WELLINGTON
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State | FL
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Zip | 33414-6517
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Country | US
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Telephone | 561-676-2994
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 003374-1
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License Number State | NY
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