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Organization
RESILIENCE
Active
Organization
RESILIENCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACEY COX LP-MHC (MENTAL HEALTH COUNSELOR)
(631) 504-8423
Entity
Organization
Contact information
Practice address
175 E 94TH ST APT 1, NEW YORK, NY 10128-2905
(631) 504-8423
Mailing address
175 E 94TH ST # 1, NEW YORK, NY 10128-2905
(631) 504-8423
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376075838
—
NY
Enumeration date
08/29/2022
Last updated
08/29/2022
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