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General NPI Number Information
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NPI Number | 1508558933
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Entity Type | Organization
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Legal Business Name | MIND SOUL MENTAL HEALTH COUNSELING
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Dates
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Enumeration Date | 05/24/2023
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Last Update Date | 06/10/2025
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Provider Practice Location Address
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Address Line | 900 SOUTH AVE STE 300
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City | STATEN ISLAND
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State | NY
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Zip | 10314-3428
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Country | US
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Telephone | 917-533-9455
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Fax | 917-533-9455
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Provider Business Mailing Address
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Address Line | 3760 POLAR ST
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City | BROOKLYN
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State | NY
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Zip | 11224-1246
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | LMHC
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Name | SALMA ABDOU
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Credential |
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Telephone | 917-533-9455
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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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