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General NPI Number Information
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NPI Number | 1447953468
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Entity Type | Organization
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Legal Business Name | GUIDED ELEMENT MENTAL HEALTH COUNSELING, PLLC
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Dates
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Enumeration Date | 03/27/2023
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Last Update Date | 03/27/2023
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Provider Practice Location Address
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Address Line | 477 MADISON AVE
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City | NEW YORK
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State | NY
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Zip | 10022-5802
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Country | US
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Telephone | 347-855-6900
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Fax |
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Provider Business Mailing Address
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Address Line | 91 ANN ST APT B
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City | STATEN ISLAND
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State | NY
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Zip | 10302-1454
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Country | US
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Telephone | 347-855-6900
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | MS. ANDRIA L CONNELL
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Credential | LMHC
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Telephone | 347-855-6900
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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 |
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License Number State |
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