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General NPI Number Information
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NPI Number | 1508444241
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Entity Type | Organization
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Legal Business Name | FAITH HONOR SUPPORT LCSW PLLC
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Dates
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Enumeration Date | 04/01/2021
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Last Update Date | 10/15/2024
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Provider Practice Location Address
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Address Line | 515 WITH MADISON AVE 21ST FL
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City | NEW YORK
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State | NY
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Zip | 10035
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Country | US
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Telephone | 646-543-4151
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Fax |
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Provider Business Mailing Address
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Address Line | 118 E 124TH ST UNIT 836
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City | NEW YORK
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State | NY
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Zip | 10035-9142
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Country | US
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Telephone | 646-326-5262
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Fax |
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Authorized Official
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Title or Position | LCSW
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Name | NASTASSJA HARPER-SMITH
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Credential | LCSW
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Telephone | 646-543-4151
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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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