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General NPI Number Information
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NPI Number | 1649106923
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Entity Type | Organization
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Legal Business Name | PENKATY THERAPY SERVICES
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Dates
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Enumeration Date | 06/23/2026
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Last Update Date | 06/23/2026
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Provider Practice Location Address
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Address Line | 2845 N 15TH ST
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City | GRAND JUNCTION
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State | CO
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Zip | 81506-5219
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Country | US
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Telephone | 888-948-6789
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Fax | 877-345-3501
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Provider Business Mailing Address
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Address Line | 1 KALISA WAY STE 101
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City | PARAMUS
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State | NJ
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Zip | 07652-3508
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Country | US
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Telephone | 888-948-6789
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Fax | 877-345-3501
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Authorized Official
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Title or Position | SOLE OWNER
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Name | MICHAEL PENKATY
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Credential |
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Telephone | 970-314-4039
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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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