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General NPI Number Information
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NPI Number | 1336732239
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Entity Type | Organization
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Legal Business Name | LOTUS EMBODIED COUNSELING,LLC
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Dates
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Enumeration Date | 02/11/2021
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Last Update Date | 08/11/2021
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Provider Practice Location Address
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Address Line | 10450 SHAKER DR STE 109
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City | COLUMBIA
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State | MD
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Zip | 21046-1136
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Country | US
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Telephone | 240-463-0045
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Fax |
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Provider Business Mailing Address
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Address Line | 10450 SHAKER DR STE 109
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City | COLUMBIA
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State | MD
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Zip | 21046-1136
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Country | US
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Telephone | 240-756-6516
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Fax |
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Authorized Official
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Title or Position | OWNER AND PSYCHOTHERAPIST
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Name | SHARNISE NICOLE HENDRICK
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Credential | LCPC
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Telephone | 240-463-0045
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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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