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General NPI Number Information
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NPI Number | 1720971823
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Entity Type | Organization
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Legal Business Name | EMERGENT MENTAL HEALTH SERVICES
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Dates
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Enumeration Date | 05/29/2025
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Last Update Date | 05/29/2025
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Provider Practice Location Address
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Address Line | 353 LEXINGTON AVE STE 308
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City | NEW YORK
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State | NY
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Zip | 10016-0941
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Country | US
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Telephone | 917-727-7896
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Fax |
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Provider Business Mailing Address
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Address Line | 4545 CENTER BLVD APT 1402
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City | LONG ISLAND CITY
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State | NY
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Zip | 11109-5926
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | STEPHANIE RODRIGUEZ
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Credential | LMHC
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Telephone | 347-703-4297
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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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