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General NPI Number Information
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NPI Number | 1225784598
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Entity Type | Organization
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Legal Business Name | LOOKING FORWARD THERAPEUTIC SERVICES, INC
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Dates
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Enumeration Date | 02/25/2022
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Last Update Date | 07/11/2023
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Provider Practice Location Address
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Address Line | 232 MAIN ST
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City | GAITHERSBURG
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State | MD
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Zip | 20878-5543
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Country | US
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Telephone | 240-912-4894
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Fax |
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Provider Business Mailing Address
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Address Line | 232 MAIN ST
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City | GAITHERSBURG
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State | MD
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Zip | 20878-5543
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Country | US
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Telephone | 240-912-4894
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TIFFANY HEBRON
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Credential |
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Telephone | 240-912-4894
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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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