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General NPI Number Information
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NPI Number | 1851107569
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Entity Type | Organization
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Legal Business Name | JOURNEY TO WELLNESS LCSW PLLC
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Dates
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Enumeration Date | 12/06/2024
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Last Update Date | 12/06/2024
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Provider Practice Location Address
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Address Line | 50 W 97TH ST APT 15H
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City | NEW YORK
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State | NY
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Zip | 10025-6081
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Country | US
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Telephone | 646-399-8936
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Fax | 929-290-0328
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Provider Business Mailing Address
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Address Line | 50 W 97TH ST APT 15H
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City | NEW YORK
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State | NY
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Zip | 10025-6081
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Country | US
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Telephone | 646-399-8936
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Fax | 929-290-0328
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Authorized Official
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Title or Position | LCSW
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Name | RENEE EDDY
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Credential |
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Telephone | 646-399-8936
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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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