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General NPI Number Information
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NPI Number | 1780565994
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Entity Type | Organization
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Legal Business Name | QUANTUM MENTAL HEALTH COUNSELING SERVICES PLLC
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Dates
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Enumeration Date | 09/12/2025
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Last Update Date | 10/03/2025
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Provider Practice Location Address
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Address Line | 9334 91ST AVE
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City | WOODHAVEN
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State | NY
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Zip | 11421-2739
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Country | US
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Telephone | 646-920-0993
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Fax |
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Provider Business Mailing Address
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Address Line | 13225 MAPLE AVE APT 209
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City | FLUSHING
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State | NY
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Zip | 11355-4453
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Country | US
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Telephone | 646-920-0993
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. TRACY LU LIANG
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Credential | LMHC-D
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Telephone | 917-291-8859
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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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