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General NPI Number Information
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NPI Number | 1437819828
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Entity Type | Organization
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Legal Business Name | ENCOURAGEMENT THRU ENGAGEMENT MENTAL HEALTH COUNSELING, PLLC
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Dates
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Enumeration Date | 12/27/2021
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Last Update Date | 12/27/2021
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Provider Practice Location Address
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Address Line | 2744 HYLAN BLVD # 116
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City | STATEN ISLAND
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State | NY
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Zip | 10306-4658
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Country | US
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Telephone | 929-333-6905
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Fax | 929-566-8627
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Provider Business Mailing Address
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Address Line | 2744 HYLAN BLVD # 116
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City | STATEN ISLAND
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State | NY
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Zip | 10306-4658
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Country | US
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Telephone | 929-333-6905
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Fax | 929-566-8627
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | MRS. VERNIECE GREEN-FULFORD
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Credential | LMHC, CASAC, ICADC
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Telephone | 929-333-6905
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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 |
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License Number State |
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