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General NPI Number Information
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NPI Number | 1891350773
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Entity Type | Organization
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Legal Business Name | ELISE BITTER LICENSED MENTAL HEALTH COUNSELOR, PLLC
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Dates
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Enumeration Date | 05/06/2019
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Last Update Date | 11/08/2022
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Provider Practice Location Address
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Address Line | 101 AVENUE OF THE AMERICAS FL 9
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City | NEW YORK
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State | NY
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Zip | 10013-1905
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Country | US
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Telephone | 347-759-6603
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Fax |
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Provider Business Mailing Address
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Address Line | 145 RENSSELAER RD
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City | ESSEX FELLS
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State | NJ
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Zip | 07021-1303
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Country | US
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Telephone | 347-759-6603
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Fax |
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Authorized Official
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Title or Position | OWNER/MEMBER
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Name | ELISE BITTER
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Credential |
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Telephone | 347-759-6603
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | 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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #3
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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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