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General NPI Number Information
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NPI Number | 1578516738
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Entity Type | Organization
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Legal Business Name | ASSOCIATION FOR MENTAL HEALTH AND WELLNESS INC
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Dates
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Enumeration Date | 05/18/2006
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Last Update Date | 11/26/2024
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Provider Practice Location Address
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Address Line | 939 JOHNSON AVE
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City | RONKONKOMA
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State | NY
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Zip | 11779-6066
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Country | US
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Telephone | 631-471-7242
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Fax | 631-738-0427
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Provider Business Mailing Address
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Address Line | 939 JOHNSON AVE
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City | RONKONKOMA
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State | NY
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Zip | 11779-6066
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Country | US
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Telephone | 631-471-7242
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Fax | 631-738-0427
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | COLLEEN MERLO
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Credential |
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Telephone | 631-471-7242
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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 | NY
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 8587420A
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 8587007A
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 8587006A
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License Number State | NY
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