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General NPI Number Information
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NPI Number | 1467181693
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Entity Type | Individual
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Provider Name | STEPHANIE VANESSA MELO LMHC, NCC, CASAC2
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Gender | Female
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Dates
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Enumeration Date | 06/04/2022
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Last Update Date | 11/25/2025
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Provider Practice Location Address
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Address Line | 119 N PARK AVE STE 306
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City | ROCKVILLE CENTRE
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State | NY
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Zip | 11570-4113
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Country | US
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Telephone | 516-208-3792
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Fax | 516-544-2575
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Provider Business Mailing Address
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Address Line | 583 GUY LOMBARDO AVE
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City | FREEPORT
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State | NY
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Zip | 11520-6202
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Country | US
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Telephone | 516-808-7552
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 36748
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 088294
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 012586
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License Number State | NY
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