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General NPI Number Information
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NPI Number | 1417694118
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Entity Type | Organization
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Legal Business Name | MY CLIENT MENTAL HEALTH AND WELLNESS LLC
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Dates
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Enumeration Date | 05/16/2022
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Last Update Date | 04/09/2025
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Provider Practice Location Address
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Address Line | 10632 LITTLE PATUXENT PKWY
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City | COLUMBIA
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State | MD
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Zip | 21044-3273
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Country | US
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Telephone | 240-437-4920
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Fax | 240-437-4877
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Provider Business Mailing Address
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Address Line | 10632 LITTLE PATUXENT PKWY
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City | COLUMBIA
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State | MD
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Zip | 21044-3273
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Country | US
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Telephone | 240-437-4920
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Fax | 240-437-4920
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Authorized Official
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Title or Position | DIRECTOR
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Name | NNEKA EZUNAGU
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Credential | CRNP, FNP, PMH-NP
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Telephone | 240-437-4920
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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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