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General NPI Number Information
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NPI Number | 1255273686
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Entity Type | Organization
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Legal Business Name | MIND AND MATTER COUNSELING LLC
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Dates
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Enumeration Date | 04/06/2026
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Last Update Date | 04/08/2026
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Provider Practice Location Address
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Address Line | 5000 THAYER CTR STE C
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City | OAKLAND
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State | MD
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Zip | 21550-1139
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Country | US
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Telephone | 843-284-9309
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Fax |
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Provider Business Mailing Address
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Address Line | 6020 TIDES WAY UNIT 410
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City | MYRTLE BEACH
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State | SC
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Zip | 29577-9449
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Country | US
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Telephone | 843-284-9309
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LINDSAY SUMMERS
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Credential | LCSW-C
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Telephone | 843-284-9306
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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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