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General NPI Number Information
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NPI Number | 1811409329
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Entity Type | Organization
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Legal Business Name | JOY & SUCCESS LLC
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Dates
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Enumeration Date | 10/25/2017
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Last Update Date | 11/09/2017
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Provider Practice Location Address
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Address Line | 59 E MILL RD UNIT 201
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City | LONG VALLEY
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State | NJ
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Zip | 07853-6222
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Country | US
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Telephone | 973-296-1876
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Fax |
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Provider Business Mailing Address
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Address Line | 13 FIELDSTONE RD
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City | CALIFON
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State | NJ
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Zip | 07830-3114
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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 | COUNSELOR
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Name | ANNABELLA SOLLACCIO
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Credential | LPC
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Telephone | 973-296-1876
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 | 37PC00575400
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License Number State | NJ
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