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General NPI Number Information
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NPI Number | 1831033570
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Entity Type | Organization
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Legal Business Name | RANDOLPH DESTIN LMHC PLLC
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Dates
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Enumeration Date | 04/15/2026
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Last Update Date | 04/15/2026
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Provider Practice Location Address
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Address Line | 32 COURT ST STE 904
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City | BROOKLYN
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State | NY
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Zip | 11201-4440
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Country | US
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Telephone | 347-377-2341
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Fax | 347-377-2341
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Provider Business Mailing Address
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Address Line | 295 MAPLE ST
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City | BROOKLYN
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State | NY
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Zip | 11225-5156
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Country | US
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Telephone | 347-377-2341
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Fax | 347-377-2343
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Authorized Official
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Title or Position | LICENSED MENTAL HEALTH COUNSELOR
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Name | RANDOLPH DESTIN
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Credential |
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Telephone | 347-377-2341
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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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