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General NPI Number Information
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NPI Number | 1508670209
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Entity Type | Organization
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Legal Business Name | THERAPY AND COUNSELING SOLUTIONS LLC
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Dates
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Enumeration Date | 02/03/2025
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Last Update Date | 02/03/2025
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Provider Practice Location Address
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Address Line | 470 LIBERTY ST APT 205
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City | LITTLE FERRY
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State | NJ
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Zip | 07643-1041
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Country | US
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Telephone | 201-694-6245
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Fax |
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Provider Business Mailing Address
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Address Line | 470 LIBERTY ST APT 205
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City | LITTLE FERRY
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State | NJ
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Zip | 07643-1041
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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 | OWNER/CEO
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Name | ANDRIY KOSTYNYUK
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Credential | LMHC, LPC
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Telephone | 201-694-6245
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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