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General NPI Number Information
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NPI Number | 1932805926
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Entity Type | Organization
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Legal Business Name | PEACEFUL MENTAL HEALTH COUNSELING, P.C.
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Dates
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Enumeration Date | 02/01/2023
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Last Update Date | 03/06/2024
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Provider Practice Location Address
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Address Line | 75 PROSPECT ST STE 402A
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City | HUNTINGTON
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State | NY
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Zip | 11743-3382
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Country | US
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Telephone | 631-334-2233
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Fax |
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Provider Business Mailing Address
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Address Line | 795 TERRY RD
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City | HAUPPAUGE
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State | NY
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Zip | 11788-3426
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Country | US
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Telephone | 631-334-2233
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | NICOLE FALZONE
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Credential | LMHC
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Telephone | 631-334-2233
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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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