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General NPI Number Information
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NPI Number | 1407321326
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Entity Type | Organization
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Legal Business Name | HARMONY HOLISTIC LLC
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Dates
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Enumeration Date | 10/06/2018
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Last Update Date | 12/05/2023
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Provider Practice Location Address
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Address Line | 50 W MONTGOMERY AVE STE 300
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City | ROCKVILLE
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State | MD
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Zip | 20850-4244
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Country | US
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Telephone | 240-686-5390
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Fax |
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Provider Business Mailing Address
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Address Line | 50 W MONTGOMERY AVE STE 300
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City | ROCKVILLE
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State | MD
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Zip | 20850-4244
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Country | US
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Telephone | 240-686-5390
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. MELANIE RICAURTE
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Credential | PSYD
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Telephone | 240-686-5390
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | 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 | 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 #4
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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 #5
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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