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NPI 1134593718

NPI 1134593718 : LIFE COUNSELING TRANSITIONS LLC : TOWSON, MD

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General NPI Number Information
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    NPI Number           |    1134593718
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    Entity Type          |    Organization 
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    Legal Business Name  |    LIFE COUNSELING TRANSITIONS LLC 
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Dates
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    Enumeration Date     |    11/19/2015
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    Last Update Date     |    06/23/2016
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Provider Practice Location Address
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    Address Line         |    722 DULANEY VALLEY RD SUITE 325
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    City                 |    TOWSON
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    State                |    MD
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    Zip                  |    21204-5109
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    Country              |    US
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    Telephone            |    443-413-4640
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    722 DULANEY VALLEY RD SUITE 325
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    City                 |    TOWSON
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    State                |    MD
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    Zip                  |    21204-5109
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MS. AKIAMI  MCCOY 
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    Credential           |    LCSW-C
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    Telephone            |    443-413-4640
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251B00000X
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    Taxonomy Name        |    Case Management Agency
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    License Number       |    18884
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    License Number State |    MD
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