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General NPI Number Information
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NPI Number | 1457897530
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Entity Type | Organization
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Legal Business Name | LCH BEHAVIORAL HEALTH SERVICES, PLLC
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Dates
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Enumeration Date | 01/12/2017
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Last Update Date | 12/04/2020
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Provider Practice Location Address
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Address Line | 1634 I ST NW, STE 1200
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City | WASHINGTON
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State | DC
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Zip | 20006-4011
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Country | US
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Telephone | 202-841-8829
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Fax | 202-387-3049
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Provider Business Mailing Address
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Address Line | 4025 13TH ST NE
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City | WASHINGTON
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State | DC
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Zip | 20017-2611
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Country | US
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Telephone | 202-841-8829
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Fax | 202-387-3049
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | LESLIE CRANDALL HUNTER
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Credential | LICSW, LCSW-C
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Telephone | 202-841-8829
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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 |
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License Number State |
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