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General NPI Number Information
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NPI Number | 1700798501
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Entity Type | Organization
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Legal Business Name | BRITTANY MARIE THERAPY SERVICES LLC
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Dates
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Enumeration Date | 09/18/2026
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Last Update Date | 10/02/2026
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Provider Practice Location Address
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Address Line | 569 DR MARTIN LUTHER KING JR BLVD STE 202
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City | NEWARK
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State | NJ
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Zip | 07102-1249
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Country | US
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Telephone | 201-279-5034
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Fax |
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Provider Business Mailing Address
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Address Line | 569 DR MARTIN LUTHER KING JR BLVD STE 202 MAILBOX #5
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City | NEWARK
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State | NJ
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Zip | 07102-1249
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Country | US
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Telephone | 201-279-5034
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Fax |
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | BRITTANY MARIE SANTIAGO
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Credential | LPC
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Telephone | 201-279-5034
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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 | NULL
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