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NPI 1972315943

NPI 1972315943 : EMPATHY ECHO COUNSELING : NEWARK, NJ

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General NPI Number Information
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    NPI Number           |    1972315943
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    Entity Type          |    Organization 
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    Legal Business Name  |    EMPATHY ECHO COUNSELING 
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Dates
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    Enumeration Date     |    01/24/2025
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    Last Update Date     |    01/24/2025
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Provider Practice Location Address
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    Address Line         |    540 BROAD ST APT 801 
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    City                 |    NEWARK
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    State                |    NJ
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    Zip                  |    07102-3144
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    Country              |    US
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    Telephone            |    862-390-1182
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    540 BROAD ST APT 801 
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    City                 |    NEWARK
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    State                |    NJ
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    Zip                  |    07102-3144
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    Country              |    US
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    Telephone            |    862-390-1182
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    Fax                  |    
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Authorized Official
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    Title or Position    |    LICENSED SOCIAL WORKER
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    Name                 |     KIMBERLY O HYMAN 
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    Credential           |    LSW
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    Telephone            |    862-390-1182
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    
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    License Number State |    
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