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General NPI Number Information
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NPI Number | 1730837675
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Entity Type | Organization
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Legal Business Name | EK MENTAL HEALTH COUNSELING PLLC
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Dates
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Enumeration Date | 03/10/2022
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Last Update Date | 03/10/2022
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Provider Practice Location Address
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Address Line | 925 PARK AVE STE 1B
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City | NEW YORK
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State | NY
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Zip | 10028-0210
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Country | US
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Telephone | 917-500-3995
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Fax |
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Provider Business Mailing Address
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Address Line | 2249 76TH ST APT 3
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City | EAST ELMHURST
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State | NY
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Zip | 11370-1204
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Country | US
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Telephone | 917-500-3995
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ELENA KATRANTZOS
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Credential | LMHC
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Telephone | 917-500-3995
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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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