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General NPI Number Information
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NPI Number | 1518367457
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Entity Type | Organization
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Legal Business Name | LIFE TRANSITIONS COUNSELING LCSW, PLLC
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Dates
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Enumeration Date | 08/28/2014
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Last Update Date | 05/03/2021
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Provider Practice Location Address
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Address Line | 2 PUDDING LN
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City | DIX HILLS
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State | NY
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Zip | 11746-6118
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Country | US
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Telephone | 631-432-8424
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Fax |
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Provider Business Mailing Address
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Address Line | 2 PUDDING LN
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City | DIX HILLS
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State | NY
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Zip | 11746-6118
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Country | US
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Telephone | 631-432-8424
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | IVY FIROUZTALE
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Credential | LCSW
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Telephone | 631-432-8424
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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 | 078295-1
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License Number State | NY
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