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Provider Information for 1982353850


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Miss AHXIA LEIGH STANTON LMHC


Sex: Female

NPI: 1982353850
Last Updated: 2023-06-28
Certification Date: 2023-06-28

Details

NameValue
NPI1982353850
Enumeration Date2022-03-19
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 106 KENSINGTON MNR
MIDDLETOWN, NY 10941-1826
United States

Phone: 845-551-5522 | Fax:
 
Primary Practice Address 106 KENSINGTON MNR
MIDDLETOWN, NY 10941-1826
United States

Phone: 845-302-3003 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YM0800X - Counselor - Mental HealthNY013232