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NPI 1023763349

NPI 1023763349 : PERFECT SOLUTIONS MENTAL HEALTH AND WELLNESS : GREENBELT, MD

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General NPI Number Information
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    NPI Number           |    1023763349
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    Entity Type          |    Organization 
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    Legal Business Name  |    PERFECT SOLUTIONS MENTAL HEALTH AND WELLNESS 
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Dates
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    Enumeration Date     |    02/15/2022
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    Last Update Date     |    09/16/2024
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Provider Practice Location Address
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    Address Line         |    8955 EDMONSTON RD STE E 
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    City                 |    GREENBELT
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    State                |    MD
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    Zip                  |    20770-4034
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    Country              |    US
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    Telephone            |    301-364-8827
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    8955 EDMONSTON RD STE E 
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    City                 |    GREENBELT
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    State                |    MD
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    Zip                  |    20770-4034
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    Country              |    US
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    Telephone            |    301-364-8827
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CLINICAL DIRECTOR
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    Name                 |     CHARITY  DZIEKETEY 
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    Credential           |    LICSW
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    Telephone            |    301-364-8827
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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