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General NPI Number Information
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NPI Number | 1407203730
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Entity Type | Organization
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Legal Business Name | THERAPY STOP LLC
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Dates
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Enumeration Date | 05/17/2016
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Last Update Date | 06/20/2024
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Provider Practice Location Address
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Address Line | 145 W OSTEND ST STE 618
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City | BALTIMORE
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State | MD
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Zip | 21230-3764
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Country | US
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Telephone | 443-872-5725
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Fax | 410-800-2875
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Provider Business Mailing Address
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Address Line | 609 S SHARP STRRET
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City | BALTIMORE
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State | MD
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Zip | 21230-0075
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Country | US
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Telephone | 443-557-8725
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Fax | 410-800-2875
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Authorized Official
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Title or Position | OWNER/ CLINICAL SOCIAL WORKER
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Name | JULIA ANN MITCHELL
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Credential | LCSW-C
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Telephone | 443-557-8725
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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 | 17309
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License Number State | MA
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