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General NPI Number Information
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NPI Number | 1245892181
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Entity Type | Organization
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Legal Business Name | ANGELS MIND BODY & SPIRIT COUNSELING & CONSULTING, LLC
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Dates
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Enumeration Date | 07/01/2019
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Last Update Date | 02/04/2022
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Provider Practice Location Address
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Address Line | 1604 GUNPOWDER RIDGE RD
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City | JOPPA
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State | MD
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Zip | 21085-5430
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Country | US
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Telephone | 912-920-0737
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Fax |
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Provider Business Mailing Address
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Address Line | 1604 GUNPOWDER RIDGE RD
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City | JOPPA
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State | MD
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Zip | 21085-5430
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Country | US
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Telephone | 912-920-0737
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Fax |
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Authorized Official
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Title or Position | CEO/CLINICAL PSYCHOLOGIST
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Name | DR. ANGEL B HAKIM
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Credential | B.S,M.S, PHD, LCPC
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Telephone | 912-920-0737
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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