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General NPI Number Information
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NPI Number | 1851067714
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Entity Type | Organization
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Legal Business Name | ASPIRE TO WELLNESS BEHAVIORAL HEALTH, LLC
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Dates
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Enumeration Date | 08/20/2021
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Last Update Date | 01/06/2025
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Provider Practice Location Address
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Address Line | 263 ROUTE 17K STE 107A
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City | NEWBURGH
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State | NY
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Zip | 12550-8345
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Country | US
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Telephone | 845-200-9230
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Fax | 949-561-5645
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Provider Business Mailing Address
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Address Line | 2255 STATE ROUTE 32 UNIT 619
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City | MODENA
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State | NY
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Zip | 12548-7027
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Country | US
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Telephone | 845-200-9230
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Fax | 949-561-5645
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Authorized Official
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Title or Position | OWNER
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Name | ANGELA ARELIS PEREZ
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Credential | LCSW-R
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Telephone | 845-200-9230
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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