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General NPI Number Information
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NPI Number | 1417761974
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Entity Type | Organization
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Legal Business Name | INTEGRATIVE WELLBEING PIONEERS
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Dates
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Enumeration Date | 02/05/2025
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Last Update Date | 03/21/2025
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Provider Practice Location Address
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Address Line | 1 N CHARLES ST
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City | BALTIMORE
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State | MD
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Zip | 21201-3740
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Country | US
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Telephone | 443-798-3717
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Fax |
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Provider Business Mailing Address
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Address Line | 11101 RESORT RD
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City | ELLICOTT CITY
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State | MD
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Zip | 21042-2086
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Country | US
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Telephone | 443-798-3717
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | VALENTINE AKPA
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Credential | LCPC, LPC
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Telephone | 845-377-3981
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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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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