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General NPI Number Information
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NPI Number | 1902790421
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Entity Type | Organization
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Legal Business Name | HOUSE OF WELLNESS MENTAL HEALTH COUNSELING, PLLC
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Dates
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Enumeration Date | 06/07/2025
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Last Update Date | 06/25/2025
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Provider Practice Location Address
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Address Line | 467 HYLAN BLVD
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City | STATEN ISLAND
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State | NY
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Zip | 10305-2053
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Country | US
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Telephone | 646-657-8660
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 50231
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City | STATEN ISLAND
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State | NY
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Zip | 10305-0231
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Country | US
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Telephone | 929-513-7602
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Fax |
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Authorized Official
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Title or Position | OWNER AND LMHC
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Name | TUBA HABIB
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Credential | LMHC
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Telephone | 646-657-8660
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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 |
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License Number State |
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Taxonomy #2
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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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