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NPI 1164382917

NPI 1164382917 : WILLIAM'S RESTORATION OF HOPE : GLEN BURNIE, MD

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General NPI Number Information
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    NPI Number           |    1164382917
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    Entity Type          |    Organization 
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    Legal Business Name  |    WILLIAM'S RESTORATION OF HOPE 
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Dates
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    Enumeration Date     |    11/14/2025
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    Last Update Date     |    11/14/2025
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Provider Practice Location Address
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    Address Line         |    7310 RITCHIE HWY STE 505 
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    City                 |    GLEN BURNIE
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    State                |    MD
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    Zip                  |    21061-3099
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    Country              |    US
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    Telephone            |    443-386-9080
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    Fax                  |    888-740-4113
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Provider Business Mailing Address
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    Address Line         |    7310 RITCHIE HWY STE 505 
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    City                 |    GLEN BURNIE
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    State                |    MD
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    Zip                  |    21061-3099
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    Country              |    US
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    Telephone            |    443-386-9080
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    Fax                  |    888-740-4113
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     EDWARD  WILLIAMS 
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    Credential           |    LCPC-S, LCADC-S
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    Telephone            |    443-386-9080
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    104100000X
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    Taxonomy Name        |    Social Worker
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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        |    101Y00000X
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    Taxonomy Name        |    Counselor
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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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