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General NPI Number Information
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NPI Number | 1205445939
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Entity Type | Organization
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Legal Business Name | NEW MILLENNIAL COUNSELING & CONSULTING, LLC
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Dates
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Enumeration Date | 07/29/2020
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Last Update Date | 07/29/2020
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Provider Practice Location Address
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Address Line | 7225 HANOVER PKWY STE C
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City | GREENBELT
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State | MD
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Zip | 20770-2024
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Country | US
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Telephone | 240-459-3074
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Fax | 240-366-3041
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Provider Business Mailing Address
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Address Line | PO BOX 654
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City | BOWIE
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State | MD
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Zip | 20718-0654
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Country | US
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Telephone | 240-459-3074
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Fax | 240-366-3041
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Authorized Official
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Title or Position | CEO
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Name | MAYA DANIELLE FOSTER
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Credential |
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Telephone | 240-459-3074
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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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