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General NPI Number Information
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NPI Number | 1598517823
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Entity Type | Organization
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Legal Business Name | KEKELI COUNSELING SERVICES LLC
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Dates
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Enumeration Date | 04/02/2024
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Last Update Date | 04/02/2024
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Provider Practice Location Address
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Address Line | 112 SOBRO AVE
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City | VALLEY STREAM
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State | NY
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Zip | 11580-2323
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Country | US
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Telephone | 516-491-0485
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Fax | 516-792-5632
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Provider Business Mailing Address
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Address Line | 112 SOBRO AVE
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City | VALLEY STREAM
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State | NY
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Zip | 11580-2323
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Country | US
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Telephone | 516-491-0485
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Fax | 516-792-5632
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Authorized Official
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Title or Position | THERAPIST
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Name | MS. LEONIE ULYSSE
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Credential | LMSW
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Telephone | 516-491-0485
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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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 | 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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Taxonomy #3
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Taxonomy Code | 1041S0200X
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Taxonomy Name | School Social Worker
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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