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General NPI Number Information
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NPI Number | 1164136024
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Entity Type | Organization
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Legal Business Name | GLOBAL IMPACT WELLNESS GROUP INC.
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Dates
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Enumeration Date | 01/05/2023
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Last Update Date | 11/07/2025
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Provider Practice Location Address
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Address Line | 2 E ROLLING XRDS STE 153
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City | CATONSVILLE
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State | MD
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Zip | 21228-6213
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Country | US
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Telephone | 410-441-3916
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Fax |
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Provider Business Mailing Address
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Address Line | 2 E ROLLING XRDS STE 153
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City | CATONSVILLE
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State | MD
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Zip | 21228-6213
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Country | US
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Telephone | 667-275-4491
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DR. ANDREA V. GIVENS
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Credential |
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Telephone | 410-441-3916
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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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