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General NPI Number Information
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NPI Number | 1154288306
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Entity Type | Organization
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Legal Business Name | PURPOSED LIFE THERAPY LLC
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Dates
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Enumeration Date | 01/08/2026
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Last Update Date | 01/08/2026
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Provider Practice Location Address
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Address Line | 4500 FORBES BLVD STE 200
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City | LANHAM
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State | MD
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Zip | 20706-6316
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Country | US
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Telephone | 201-341-0153
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Fax |
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Provider Business Mailing Address
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Address Line | 2714 PRINCESS VICTORIA WAY
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City | MITCHELLVILLE
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State | MD
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Zip | 20721-2439
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Country | US
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Telephone | 201-341-0153
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATIVE HC CONSULTANT
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Name | MS. TERRI FIELDS
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Credential | CPAT, CPC, CTLC, CS
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Telephone | 443-567-6120
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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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