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General NPI Number Information
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NPI Number | 1194653030
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Entity Type | Organization
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Legal Business Name | MINDFUL BALANCE BEHAVIORAL HEALTH CENTER LLC
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Dates
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Enumeration Date | 05/11/2026
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Last Update Date | 05/11/2026
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Provider Practice Location Address
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Address Line | 6 TUPELO CT
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City | ROCKVILLE
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State | MD
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Zip | 20855-2501
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Country | US
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Telephone | 973-506-8071
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Fax | 240-597-5367
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Provider Business Mailing Address
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Address Line | 6 TUPELO CT
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City | ROCKVILLE
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State | MD
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Zip | 20855-2501
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Country | US
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Telephone | 973-506-8071
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Fax | 240-597-5367
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Authorized Official
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Title or Position | FOUNDER & CLINICAL DIRECTOR
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Name | SHAKIRRA MCKINLEY
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Credential | LMHC, LCPC
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Telephone | 914-619-8534
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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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