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General NPI Number Information
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NPI Number | 1780381665
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Entity Type | Organization
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Legal Business Name | ALIADO WELLNESS, LLC
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Dates
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Enumeration Date | 02/13/2023
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Last Update Date | 02/13/2023
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Provider Practice Location Address
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Address Line | 23 NICHOLS AVE
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City | BROOKLYN
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State | NY
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Zip | 11208-1509
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Country | US
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Telephone | 347-605-3518
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Fax |
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Provider Business Mailing Address
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Address Line | 23 NICHOLS AVE
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City | BROOKLYN
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State | NY
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Zip | 11208-1509
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Country | US
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Telephone | 347-605-3518
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Fax |
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Authorized Official
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Title or Position | LICENSED CLINICAL SOCIAL WORKER
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Name | SAKIMA GONZALEZ
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Credential | LCSW
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Telephone | 347-605-3518
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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