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General NPI Number Information
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NPI Number | 1164392825
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Entity Type | Organization
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Legal Business Name | PRECIOUS THOUGHTS AND MINDS THERAPY SERVICES LLC.
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Dates
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Enumeration Date | 11/07/2025
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Last Update Date | 11/07/2025
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Provider Practice Location Address
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Address Line | 10490 LITTLE PATUXENT PKWY STE 600
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City | COLUMBIA
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State | MD
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Zip | 21044-4941
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Country | US
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Telephone | 443-583-8935
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Fax |
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Provider Business Mailing Address
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Address Line | 4960 WALKING STICK RD APT A
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City | ELLICOTT CITY
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State | MD
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Zip | 21043-8058
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Country | US
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Telephone | 443-583-8935
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Fax |
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Authorized Official
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Title or Position | LICENSED CLINICAL PROFESSIONAL COUN
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Name | PRECIOUS WELLS
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Credential | LCPC
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Telephone | 443-583-8935
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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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