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General NPI Number Information
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NPI Number | 1639461346
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Entity Type | Organization
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Legal Business Name | HEAD IN THE RIGHT DIRECTION, INC.
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Dates
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Enumeration Date | 05/12/2011
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Last Update Date | 05/12/2011
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Provider Practice Location Address
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Address Line | 79 ST BASILS RD SUITE 6
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City | GARRISON
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State | NY
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Zip | 10524-4127
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Country | US
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Telephone | 845-335-5615
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Fax | 845-335-5616
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Provider Business Mailing Address
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Address Line | PO BOX 155
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City | GARRISON
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State | NY
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Zip | 10524-0155
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Country | US
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Telephone | 845-335-5615
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Fax | 845-335-5616
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Authorized Official
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Title or Position | CEO
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Name | MR. ADAM T BARTA
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Credential | LCSW
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Telephone | 845-335-5615
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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 | 076928
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License Number State | NY
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