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General NPI Number Information
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NPI Number | 1871300749
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Entity Type | Organization
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Legal Business Name | THOUGHTS IN MOTION COUNSELING LLC
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Dates
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Enumeration Date | 12/14/2024
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Last Update Date | 12/14/2024
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Provider Practice Location Address
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Address Line | 384 MAIN STREET UNIT 691
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City | ORANGE
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State | NJ
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Zip | 07051
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Country | US
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Telephone | 862-774-7759
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Fax |
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Provider Business Mailing Address
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Address Line | 384 MAIN STREET UNIT 691
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City | ORANGE
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State | NJ
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Zip | 07051
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Country | US
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Telephone | 862-774-7759
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Fax |
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Authorized Official
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Title or Position | LICENSED SOCIAL WORKER & COUNSELOR
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Name | SHENIFA ALLEN
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Credential | MSW, MHFA, LSW
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Telephone | 862-774-7759
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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