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General NPI Number Information
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NPI Number | 1487517033
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Entity Type | Organization
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Legal Business Name | PARLOR CITY WELLNESS, LCSW, P.C.
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Dates
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Enumeration Date | 12/09/2025
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 101 CASTLE CREEK RD
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City | BINGHAMTON
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State | NY
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Zip | 13901-1005
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Country | US
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Telephone | 607-444-2850
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Fax | 877-552-1301
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Provider Business Mailing Address
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Address Line | 3 BROOKSIDE RD
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City | BINGHAMTON
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State | NY
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Zip | 13903-1415
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Country | US
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Telephone | 607-280-9000
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Fax |
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Authorized Official
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Title or Position | LCSW/OWNER
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Name | JESSICA KROHN
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Credential | LCSW
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Telephone | 607-444-2850
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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