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General NPI Number Information
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NPI Number | 1609718469
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Entity Type | Organization
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Legal Business Name | ODYSSEY PSYCHOTHERAPY LCSW LLC
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Dates
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Enumeration Date | 04/08/2026
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Last Update Date | 04/08/2026
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Provider Practice Location Address
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Address Line | 21 COMO TER
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City | LAKE HOPATCONG
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State | NJ
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Zip | 07849-1029
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Country | US
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Telephone | 991-734-2269
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Fax |
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Provider Business Mailing Address
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Address Line | 971 US HIGHWAY 202 N STE 5574
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City | BRANCHBURG
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State | NJ
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Zip | 08876-3757
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Country | US
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Telephone | 917-342-2699
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Fax | 347-467-9817
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Authorized Official
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Title or Position | OWNER
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Name | CONSTANTINE CHRISTODOULOU
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Credential | LCSW
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Telephone | 201-304-5853
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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 |
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License Number State |
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