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General NPI Number Information
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NPI Number | 1184209447
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Entity Type | Organization
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Legal Business Name | SAFE HARBOR COMMUNITY SERVICES
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Dates
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Enumeration Date | 03/17/2021
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Last Update Date | 04/24/2021
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Provider Practice Location Address
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Address Line | 2227 OLD EMMORTON RD STE 115
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City | BEL AIR
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State | MD
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Zip | 21015-6190
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Country | US
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Telephone | 410-995-8973
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Fax |
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Provider Business Mailing Address
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Address Line | 1208 E CHURCHVILLE RD STE 300
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City | BEL AIR
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State | MD
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Zip | 21014-3485
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Country | US
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Telephone |
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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 | PAMELA J LLEWELLYN
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Credential |
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Telephone | 410-995-8973
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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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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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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 | 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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