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General NPI Number Information
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NPI Number | 1639850050
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Entity Type | Organization
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Legal Business Name | TANU COUNSELING SERVICES LCSW PLLC
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Dates
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Enumeration Date | 07/27/2023
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Last Update Date | 07/27/2023
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Provider Practice Location Address
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Address Line | 75 LAKE RD STE 318
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City | CONGERS
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State | NY
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Zip | 10920-2342
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Country | US
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Telephone | 845-584-5888
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Fax | 845-584-5889
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Provider Business Mailing Address
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Address Line | 75 LAKE RD STE 318
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City | CONGERS
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State | NY
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Zip | 10920-2342
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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 | OWNER
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Name | MS. TANISHA TIMOTHEE
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Credential | LCSW
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Telephone | 914-372-6731
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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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Taxonomy #2
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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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