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General NPI Number Information
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NPI Number | 1487183083
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Entity Type | Organization
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Legal Business Name | AT YOUR BEST BEHAVIORAL HEALTH GROUP LLC
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Dates
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Enumeration Date | 06/07/2017
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Last Update Date | 02/13/2018
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Provider Practice Location Address
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Address Line | 1704 ASHBURTON ST
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City | BALTIMORE
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State | MD
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Zip | 21216-3535
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Country | US
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Telephone | 202-489-2066
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Fax |
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Provider Business Mailing Address
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Address Line | 1704 ASHBURTON ST
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City | BALTIMORE
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State | MD
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Zip | 21216-3535
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Country | US
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Telephone | 202-489-2066
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO
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Name | ODELIA BARIKA MUIR
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Credential | LCSW-C; LICSW
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Telephone | 202-489-2066
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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 | LC5466
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 19640
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | LC5466
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 19640
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License Number State | MD
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Taxonomy #5
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LC5466
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License Number State | MD
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Taxonomy #6
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 19640
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License Number State | MD
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Taxonomy #7
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LGP6351
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License Number State | MD
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Taxonomy #8
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LC5466
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License Number State | MD
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Taxonomy #9
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 19640
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License Number State | MD
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Taxonomy #10
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 19640
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License Number State | MD
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