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General NPI Number Information
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NPI Number | 1851200968
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Entity Type | Organization
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Legal Business Name | A SPACE OF HOPE THERAPY, LCSW PLLC
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Dates
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Enumeration Date | 09/03/2026
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Last Update Date | 09/03/2026
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Provider Practice Location Address
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Address Line | 4050 W RIDGE RD FL 1
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City | GREECE
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State | NY
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Zip | 14626-3528
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Country | US
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Telephone | 585-861-8087
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Fax | 212-433-8537
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Provider Business Mailing Address
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Address Line | 4050 W RIDGE RD FL 1
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City | GREECE
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State | NY
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Zip | 14626-3528
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Country | US
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Telephone | 585-861-8087
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Fax | 212-433-8537
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Authorized Official
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Title or Position | MENTAL HEALTH THERAPIST/ OWNER
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Name | ASHELLEE ELAINE TOWEH
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Credential | LCSW
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Telephone | 585-861-8087
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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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