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General NPI Number Information
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NPI Number | 1699391748
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Entity Type | Organization
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Legal Business Name | K. KNIGHT MENTAL HEALTH COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 06/24/2020
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Last Update Date | 06/24/2020
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Provider Practice Location Address
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Address Line | 451 LOCUST CT
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City | ROCKVILLE CENTRE
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State | NY
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Zip | 11570-3329
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Country | US
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Telephone | 516-279-9908
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2154
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City | WEST HEMPSTEAD
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State | NY
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Zip | 11552-0654
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Country | US
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Telephone | 516-279-9908
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Fax |
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Authorized Official
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Title or Position | OWNER/MENTAL HEALTH COUNSELOR
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Name | KIM KNIGHT
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Credential | LMHC
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Telephone | 516-279-9908
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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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