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General NPI Number Information
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NPI Number | 1356125561
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Entity Type | Organization
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Legal Business Name | ALCHEMY THERAPY AND HOLISTIC WELLNESS SPACE
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Dates
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Enumeration Date | 08/21/2023
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Last Update Date | 08/21/2023
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Provider Practice Location Address
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Address Line | 120 WATERFRONT STREET SUITE 420 #2276
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City | NATIONAL HARBOR
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State | MD
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Zip | 20745
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Country | US
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Telephone | 240-488-6638
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Fax |
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Provider Business Mailing Address
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Address Line | 341 ATTENBOROUGH DR APT 301
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City | ROSEDALE
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State | MD
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Zip | 21237-4958
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Country | US
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Telephone | 443-600-2907
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. JANELLE CARRINGTON
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Credential | LCSWC
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Telephone | 240-488-6638
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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