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General NPI Number Information
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NPI Number | 1134889173
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Entity Type | Organization
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Legal Business Name | CONNECTING THE PIECES ; MENTAL HEALTH SOLUTIONS, LLC
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Dates
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Enumeration Date | 12/17/2021
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Last Update Date | 03/14/2023
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Provider Practice Location Address
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Address Line | 2670 CRAIN HWY STE 510
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City | WALDORF
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State | MD
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Zip | 20601-2819
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Country | US
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Telephone | 240-416-6836
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Fax | 240-492-4170
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Provider Business Mailing Address
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Address Line | 2670 CRAIN HWY STE 510
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City | WALDORF
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State | MD
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Zip | 20601-2819
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Country | US
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Telephone | 301-778-1335
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Fax | 240-492-4170
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | DEBORAH ALLEN
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Credential | LCPC
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Telephone | 301-778-1335
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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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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