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General NPI Number Information
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NPI Number | 1861909814
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Entity Type | Organization
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Legal Business Name | JOURNEY TO PATHWAYS, LCSW, PLLC
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Dates
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Enumeration Date | 12/29/2017
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Last Update Date | 06/16/2018
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Provider Practice Location Address
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Address Line | 175 HUGUENOT ST STE 200
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City | NEW ROCHELLE
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State | NY
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Zip | 10801-7761
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Country | US
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Telephone | 914-751-9768
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Fax |
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Provider Business Mailing Address
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Address Line | 175 HUGUENOT ST STE 200
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City | NEW ROCHELLE
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State | NY
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Zip | 10801-7761
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Country | US
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Telephone | 914-751-9768
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MRS. LEKEISHA DAWKINS
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Credential | LCSW, CASAC
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Telephone | 914-751-9768
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 18218
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 083846
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License Number State | NY
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