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General NPI Number Information
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NPI Number | 1255083812
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Entity Type | Organization
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Legal Business Name | WORTHY OF HEALING LLC
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Dates
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Enumeration Date | 01/24/2022
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Last Update Date | 01/24/2022
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Provider Practice Location Address
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Address Line | 46825 MORNING DEW LN APT 304
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City | LEXINGTON PARK
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State | MD
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Zip | 20653-5230
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Country | US
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Telephone | 240-434-8154
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Fax |
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Provider Business Mailing Address
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Address Line | 46825 MORNING DEW LN APT 304
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City | LEXINGTON PARK
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State | MD
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Zip | 20653-5230
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Country | US
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Telephone | 240-434-8154
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Fax |
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Authorized Official
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Title or Position | PSYCHOTHERAPIST
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Name | BETHANY YATES
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Credential | LCSW-C
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Telephone | 240-434-8154
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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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 | 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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