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General NPI Number Information
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NPI Number | 1477937035
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Entity Type | Organization
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Legal Business Name | STRONG TOWER CHRISTIAN MENTAL HEALTH COUNSELING SERVICES
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Dates
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Enumeration Date | 07/14/2015
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Last Update Date | 07/14/2015
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Provider Practice Location Address
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Address Line | 309 OLD FARMINGDALE RD
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City | WEST BABYLON
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State | NY
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Zip | 11704-6425
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Country | US
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Telephone | 631-897-3705
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Fax | 631-321-8080
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Provider Business Mailing Address
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Address Line | PO BOX 1661
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City | WEST BABYLON
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State | NY
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Zip | 11704-0661
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Country | US
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Telephone | 631-897-3705
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Fax | 631-321-8080
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Authorized Official
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Title or Position | PROFESSIONAL COUNSELOR
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Name | DR. ANNA E. RAMOS
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Credential | LMHC, P.H.D
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Telephone | 631-897-3705
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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 | 004272-1
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License Number State | NY
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