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General NPI Number Information
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NPI Number | 1275993461
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Entity Type | Organization
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Legal Business Name | TSG MENTAL HEALTH SERVICES LLC
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Dates
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Enumeration Date | 03/01/2016
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Last Update Date | 07/28/2022
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Provider Practice Location Address
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Address Line | 1829 REISTERSTOWN RD STE 350
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City | PIKESVILLE
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State | MD
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Zip | 21208-7126
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Country | US
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Telephone | 443-943-6057
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Fax | 443-552-7439
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Provider Business Mailing Address
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Address Line | 1829 REISTERSTOWN RD STE 350
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City | PIKESVILLE
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State | MD
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Zip | 21208-7126
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Country | US
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Telephone | 443-943-6057
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Fax | 443-552-7439
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Authorized Official
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Title or Position | PSYCHIATRIC NURSE PRACTITIONER
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Name | MS. TESSA SHEREE PERRY
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Credential | PMHNP
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Telephone | 443-943-6057
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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