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General NPI Number Information
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NPI Number | 1497410385
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Entity Type | Organization
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Legal Business Name | SOLID GROUND WELLNESS
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Dates
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Enumeration Date | 11/04/2021
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Last Update Date | 11/04/2021
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Provider Practice Location Address
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Address Line | 9175 GUILFORD RD STE 307
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City | COLUMBIA
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State | MD
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Zip | 21046-2567
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Country | US
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Telephone | 443-860-2549
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Fax |
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Provider Business Mailing Address
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Address Line | 9175 GUILFORD RD STE 307
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City | COLUMBIA
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State | MD
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Zip | 21046-2567
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Country | US
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Telephone | 443-860-2549
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Fax |
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Authorized Official
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Title or Position | CO-FOUNDER/CEO
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Name | MS. SEQUOYAH SHERRILL
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Credential | LCMFT
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Telephone | 443-860-2549
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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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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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