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General NPI Number Information
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NPI Number | 1306481726
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Entity Type | Organization
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Legal Business Name | NEW HEIGHTS COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 11/08/2019
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Last Update Date | 09/10/2022
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Provider Practice Location Address
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Address Line | 10926 SIMMONS RD
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City | EMMITSBURG
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State | MD
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Zip | 21727-8400
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Country | US
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Telephone | 301-471-2585
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Fax |
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Provider Business Mailing Address
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Address Line | 17041 BULLFROG RD
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City | EMMITSBURG
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State | MD
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Zip | 21727-8732
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Country | US
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Telephone | 301-471-2585
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Fax |
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | KATHRYN BURKE IMIRIE
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Credential | LCSW-C
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Telephone | 240-232-5933
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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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