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General NPI Number Information
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NPI Number | 1508714130
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Entity Type | Organization
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Legal Business Name | APRICITY PATH MENTAL HEALTH COUNSELING, PLLC
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Dates
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Enumeration Date | 03/19/2026
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Last Update Date | 03/20/2026
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Provider Practice Location Address
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Address Line | 7308 198TH ST
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City | FRESH MEADOWS
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State | NY
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Zip | 11366-1819
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Country | US
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Telephone | 631-623-0174
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Fax |
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Provider Business Mailing Address
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Address Line | 350 NORTHERN BLVD STE 324-1384
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City | ALBANY
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State | NY
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Zip | 12204-1000
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Country | US
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Telephone | 631-623-0174
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AYANNA S PETTAWAY
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Credential | LMHC, NCC
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Telephone | 631-623-0174
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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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