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General NPI Number Information
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NPI Number | 1518639202
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Entity Type | Organization
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Legal Business Name | HEALTHY MINDSETS LLC
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Dates
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Enumeration Date | 09/30/2021
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Last Update Date | 05/01/2022
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Provider Practice Location Address
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Address Line | 8737 BROOKS DR STE 102
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City | EASTON
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State | MD
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Zip | 21601-7474
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Country | US
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Telephone | 410-924-8254
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Fax |
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Provider Business Mailing Address
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Address Line | 8707 COMMERCE DR STE D
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City | EASTON
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State | MD
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Zip | 21601-6910
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | MRS. ANNE MCCAULEY
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Credential | LCSW-C
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Telephone | 410-924-8254
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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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 | 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 #3
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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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