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General NPI Number Information
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NPI Number | 1417761248
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Entity Type | Organization
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Legal Business Name | IVY COUNSELING, LLC
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Dates
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Enumeration Date | 02/03/2025
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Last Update Date | 02/03/2025
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Provider Practice Location Address
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Address Line | 15101 DONNA DR
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City | SILVER SPRING
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State | MD
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Zip | 20905-4304
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Country | US
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Telephone | 240-888-5780
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Fax |
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Provider Business Mailing Address
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Address Line | 15101 DONNA DR
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City | SILVER SPRING
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State | MD
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Zip | 20905-4304
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Country | US
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Telephone | 240-888-5780
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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. LINNEA HAMMER
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Credential | LCPC
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Telephone | 240-888-5780
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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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