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General NPI Number Information
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NPI Number | 1710704051
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Entity Type | Organization
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Legal Business Name | AMY POTTER THERAPY - MENTAL HEALTH COUNSELING PLLC
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Dates
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Enumeration Date | 09/25/2024
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Last Update Date | 09/25/2024
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Provider Practice Location Address
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Address Line | 808 UNION STREET SUITE 2B
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City | BROOKLYN
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State | NY
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Zip | 11215
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Country | US
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Telephone | 917-912-1618
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Fax |
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Provider Business Mailing Address
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Address Line | 413 40TH ST
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City | BROOKLYN
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State | NY
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Zip | 11232-3405
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Country | US
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Telephone | 917-912-1618
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Fax |
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Authorized Official
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Title or Position | OWNER & FOUNDER
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Name | MS. AMY ELIZABETH POTTER
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Credential | LMHC
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Telephone | 917-912-1618
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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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