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General NPI Number Information
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NPI Number | 1861180069
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Entity Type | Organization
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Legal Business Name | NICOLE M. SERINI LMHC PLLC
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Dates
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Enumeration Date | 04/26/2023
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Last Update Date | 06/06/2023
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Provider Practice Location Address
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Address Line | 1334 RT 9W
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City | MARLBORO
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State | NY
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Zip | 12542-1252
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Country | US
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Telephone | 845-705-4790
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Fax |
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Provider Business Mailing Address
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Address Line | 37A BELL DR
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City | HIGHLAND
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State | NY
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Zip | 12528-1607
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Country | US
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Telephone | 845-705-4790
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. NICOLE MARIE SERINI
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Credential | LMHC
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Telephone | 845-705-4790
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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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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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