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General NPI Number Information
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NPI Number | 1811878937
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Entity Type | Organization
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Legal Business Name | SHAMEELA INDERDEO MENTAL HEALTH COUNSELOR P.C.
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Dates
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Enumeration Date | 09/08/2025
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 2136 DEER PARK AVE # 29
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City | DEER PARK
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State | NY
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Zip | 11729-1306
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Country | US
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Telephone | 516-776-6360
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Fax | 631-888-1624
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Provider Business Mailing Address
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Address Line | 1232 13TH ST
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City | WEST BABYLON
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State | NY
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Zip | 11704-3212
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Country | US
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Telephone | 516-776-6360
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Fax | 631-888-1624
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Authorized Official
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Title or Position | COUNSELOR
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Name | SHAMEELA INDERDEO
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Credential | LMHC
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Telephone | 516-776-6360
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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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