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General NPI Number Information
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NPI Number | 1700417441
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Entity Type | Organization
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Legal Business Name | PROSPERITY COUNSELING LLC
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Dates
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Enumeration Date | 01/31/2020
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Last Update Date | 07/18/2025
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Provider Practice Location Address
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Address Line | 1435 CHAPEL ST 1ST FLOOR
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City | NEW HAVEN
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State | CT
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Zip | 06511-4411
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Country | US
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Telephone | 203-908-8978
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Fax |
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Provider Business Mailing Address
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Address Line | 1435 CHAPEL ST 1ST FLOOR
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City | NEW HAVEN
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State | CT
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Zip | 06511-4411
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Country | US
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Telephone | 203-908-8978
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | KAREN MICHELLE TYSON
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Credential | LADC
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Telephone | 203-717-9900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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