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NPI 1942007380

NPI 1942007380 : WELLNESS QUEST MENTAL HEALTH COUNSELING P.L.L.C. : ROCHESTER, NY

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General NPI Number Information
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    NPI Number           |    1942007380
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    Entity Type          |    Organization 
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    Legal Business Name  |    WELLNESS QUEST MENTAL HEALTH COUNSELING P.L.L.C. 
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Dates
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    Enumeration Date     |    02/25/2025
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    Last Update Date     |    02/25/2025
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Provider Practice Location Address
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    Address Line         |    100 ALLENS CREEK RD STE 230 
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    City                 |    ROCHESTER
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    State                |    NY
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    Zip                  |    14618-3303
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    Country              |    US
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    Telephone            |    516-652-8372
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    22 TAYLOR RD 
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    City                 |    HONEOYE FALLS
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    State                |    NY
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    Zip                  |    14472-9732
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    Country              |    US
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    Telephone            |    516-652-8372
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    Fax                  |    
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Authorized Official
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    Title or Position    |    MENTAL HEALTH COUNSELOR
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    Name                 |     JOHN  BERT 
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    Credential           |    LMHC
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    Telephone            |    516-652-8372
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QM0855X
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    Taxonomy Name        |    Adolescent and Children Mental Health Clinic/Center
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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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