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General NPI Number Information
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NPI Number | 1477233286
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Entity Type | Organization
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Legal Business Name | PURPLE HIPPO COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 07/18/2023
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Last Update Date | 02/05/2024
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Provider Practice Location Address
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Address Line | 1166 BARNUM AVE
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City | STRATFORD
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State | CT
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Zip | 06614-4943
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Country | US
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Telephone | 860-764-3525
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Fax | 203-522-5174
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Provider Business Mailing Address
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Address Line | 1166 BARNUM AVE
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City | STRATFORD
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State | CT
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Zip | 06614-4943
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Country | US
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Telephone | 860-764-3525
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Fax | 203-522-5174
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Authorized Official
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Title or Position | FOUNDER
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Name | NILDA L. VEGA
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Credential | MS, LPC
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Telephone | 860-764-3525
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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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