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General NPI Number Information
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NPI Number | 1255481644
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Entity Type | Organization
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Legal Business Name | METROPOLITAN PSYCHOTHERAPY AND HEALTH COACHING, LLC
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Dates
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Enumeration Date | 01/10/2007
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Last Update Date | 10/06/2023
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Provider Practice Location Address
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Address Line | 5625 ALLENTOWN RD SUITE 102
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City | CAMP SPRINGS
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State | MD
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Zip | 20746-4521
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Country | US
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Telephone | 301-899-2497
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Fax | 301-899-2499
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Provider Business Mailing Address
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Address Line | 5625 ALLENTOWN RD SUITE 102
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City | CAMP SPRINGS
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State | MD
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Zip | 20746-4521
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Country | US
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Telephone | 301-899-2497
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Fax | 301-899-2499
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | ENA MAY WATSON
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Credential | PH. D., LCSW-C
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Telephone | 301-899-2497
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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 | 05193
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License Number State | MD
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