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General NPI Number Information
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NPI Number | 1316487879
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Entity Type | Organization
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Legal Business Name | SAFE HARBOR BEHAVIORAL CARE, LLC
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Dates
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Enumeration Date | 03/03/2017
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Last Update Date | 06/21/2018
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Provider Practice Location Address
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Address Line | 2227 OLD EMMORTON RD STE 119
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City | BEL AIR
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State | MD
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Zip | 21015
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Country | US
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Telephone | 410-893-4600
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Fax | 443-640-4358
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Provider Business Mailing Address
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Address Line | 1208 E CHURCHVILLE RD STE 300
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City | BEL AIR
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State | MD
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Zip | 21014-3442
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Country | US
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Telephone | 410-893-4600
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Fax | 443-640-4358
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Authorized Official
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Title or Position | NATIONAL DIRECTOR
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Name | ERIK SUNDQUIST
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Credential |
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Telephone | 410-893-4600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #9
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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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Taxonomy #10
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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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