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Organization
REDEEMED SPIRIT LLC
Active
Organization
REDEEMED SPIRIT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY FELICIANO LOPEZ LMHC (LICENSED MENTAL HEALTH COUNSELOR)
(518) 217-8439
Entity
Organization
Contact information
Practice address
90 STATE ST STE OFFICE40, ALBANY, NY 12207-1716
(518) 217-8439
Mailing address
90 STATE ST STE OFFICE40, ALBANY, NY 12207-1716
(518) 217-8439
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
08/28/2021
Last updated
08/28/2021
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