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General NPI Number Information
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NPI Number | 1548922701
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Entity Type | Organization
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Legal Business Name | ACCLIVITY MENTAL HEALTH COUNSELING, PLLC
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Dates
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Enumeration Date | 10/06/2021
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Last Update Date | 10/06/2021
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Provider Practice Location Address
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Address Line | 3349 MONROE AVE STE 284
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City | ROCHESTER
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State | NY
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Zip | 14618-5513
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Country | US
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Telephone | 718-877-9874
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Fax |
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Provider Business Mailing Address
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Address Line | 34 KIRKLEES RD
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City | PITTSFORD
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State | NY
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Zip | 14534-1540
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Country | US
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Telephone | 718-877-9874
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Fax |
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | NINA-SHEVON STEVERSON
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Credential | LMHC, NCC, BC-TMH
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Telephone | 585-285-6760
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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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