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General NPI Number Information
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NPI Number | 1710766399
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Entity Type | Organization
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Legal Business Name | IN MOTION MENTAL HEALTH COUNSELING
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Dates
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Enumeration Date | 09/25/2023
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Last Update Date | 09/25/2023
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Provider Practice Location Address
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Address Line | 121 PINEBROOK BLVD
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City | NEW ROCHELLE
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State | NY
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Zip | 10804-4505
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Country | US
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Telephone | 914-563-3349
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Fax |
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Provider Business Mailing Address
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Address Line | 121 PINEBROOK BLVD
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City | NEW ROCHELLE
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State | NY
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Zip | 10804-4505
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Country | US
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Telephone | 914-563-3349
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Fax |
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | SONYA GAFFNEY
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Credential | LMHC
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Telephone | 914-563-3349
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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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