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NPI 1497393789

NPI 1497393789 : HARMONY WELLNESS COUNSELING CENTER : PRINCETON, NJ

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General NPI Number Information
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    NPI Number           |    1497393789
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    Entity Type          |    Organization 
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    Legal Business Name  |    HARMONY WELLNESS COUNSELING CENTER 
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Dates
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    Enumeration Date     |    12/17/2019
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    Last Update Date     |    12/17/2019
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Provider Practice Location Address
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    Address Line         |    190 NASSAU ST 
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    City                 |    PRINCETON
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    State                |    NJ
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    Zip                  |    08542-7012
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    Country              |    US
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    Telephone            |    347-605-5709
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    16 BONNIE LN 
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    City                 |    WILLINGBORO
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    State                |    NJ
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    Zip                  |    08046-1630
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    Country              |    US
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    Telephone            |    347-605-5709
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MS. HASLYNA ANDREA WATSON 
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    Credential           |    LCSW
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    Telephone            |    347-605-5709
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QM0850X
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    Taxonomy Name        |    Adult Mental Health Clinic/Center
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    License Number       |    
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    License Number State |    
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