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General NPI Number Information
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NPI Number | 1740058395
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Entity Type | Organization
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Legal Business Name | HEART COUNSELING SERVICES & ART THERAPY, PLLC
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Dates
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Enumeration Date | 12/13/2023
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Last Update Date | 12/13/2023
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Provider Practice Location Address
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Address Line | 5281 ROUTE 22
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City | AMENIA
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State | NY
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Zip | 12501-5347
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Country | US
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Telephone | 845-266-6111
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Fax |
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Provider Business Mailing Address
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Address Line | 5281 ROUTE 22
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City | AMENIA
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State | NY
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Zip | 12501-5347
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Country | US
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Telephone | 845-266-6111
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Fax |
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | SARAH K GRAY
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Credential | MS, MPH, LCAT, LPC,
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Telephone | 646-322-0598
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 221700000X
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Taxonomy Name | Art Therapist
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License Number |
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License Number State |
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