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General NPI Number Information
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NPI Number | 1619852548
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Entity Type | Organization
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Legal Business Name | KIND SPACE MENTAL HEALTH COUNSELING PLLC
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Dates
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Enumeration Date | 08/08/2025
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Last Update Date | 08/08/2025
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Provider Practice Location Address
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Address Line | 1115 BROADWAY STE 1200
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City | NEW YORK
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State | NY
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Zip | 10010-3450
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Country | US
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Telephone | 347-450-6116
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Fax |
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Provider Business Mailing Address
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Address Line | 8633 WHITNEY AVE
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City | ELMHURST
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State | NY
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Zip | 11373-3657
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | LIN CHEN
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Credential | LMHC
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Telephone | 917-740-2139
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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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