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General NPI Number Information
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NPI Number | 1841102316
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Entity Type | Organization
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Legal Business Name | VITAL MIND MENTAL HEALTH COUNSELING PLLC
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Dates
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Enumeration Date | 09/21/2026
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Last Update Date | 09/21/2026
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Provider Practice Location Address
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Address Line | 183 S WELLWOOD AVE SUITE A
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City | LINDENHURST
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State | NY
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Zip | 11757
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Country | US
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Telephone | 631-944-5246
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Fax | 631-651-3696
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Provider Business Mailing Address
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Address Line | 81101 CIRCLE DR
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City | CENTRAL ISLIP
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State | NY
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Zip | 11722-5206
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Country | US
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Telephone | 631-944-5246
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Fax | 631-651-3696
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARTYNA WEGRZYNOWSKA
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Credential |
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Telephone | 631-944-5246
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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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