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General NPI Number Information
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NPI Number | 1124751193
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Entity Type | Organization
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Legal Business Name | RELEASE AND GOVERN THERAPEUTIC SERVICES, LLC
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Dates
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Enumeration Date | 07/06/2022
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Last Update Date | 12/17/2023
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Provider Practice Location Address
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Address Line | 6755 BUSINESS PKWY STE 309
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City | ELKRIDGE
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State | MD
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Zip | 21075-6740
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Country | US
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Telephone | 443-308-3618
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Fax |
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Provider Business Mailing Address
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Address Line | 6755 BUSINESS PKWY STE 309
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City | ELKRIDGE
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State | MD
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Zip | 21075-6740
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Country | US
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Telephone | 443-308-3618
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LORIE-ANN BROWN
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Credential | LCPC
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Telephone | 443-308-3618
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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