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General NPI Number Information
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NPI Number | 1710563986
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Entity Type | Organization
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Legal Business Name | MENTAL HEALTH COUNSELING SERVICES, P.C.
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Dates
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Enumeration Date | 03/19/2021
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Last Update Date | 03/25/2022
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Provider Practice Location Address
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Address Line | 22 LEROY ST SUITE 6
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City | NEW YORK
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State | NY
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Zip | 10014
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Country | US
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Telephone | 212-473-4951
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Fax |
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Provider Business Mailing Address
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Address Line | 111 E 14TH ST # 210
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City | NEW YORK
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State | NY
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Zip | 10003-4277
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Country | US
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Telephone | 212-473-4951
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | PETER C BENEDICT
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Credential | LMHC
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Telephone | 212-473-4951
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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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