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General NPI Number Information
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NPI Number | 1518752906
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Entity Type | Organization
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Legal Business Name | CONSOLA MENTAL HEALTH SERVICES LLC
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Dates
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Enumeration Date | 04/14/2025
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Last Update Date | 10/23/2025
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Provider Practice Location Address
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Address Line | 9331 LIBERTY RD
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City | RANDALLSTOWN
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State | MD
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Zip | 21133-3525
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Country | US
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Telephone | 443-739-5882
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Fax |
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Provider Business Mailing Address
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Address Line | 8679 WINANDS RD
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City | RANDALLSTOWN
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State | MD
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Zip | 21133-4410
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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 | PRESIDENT
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Name | SOLANGE NJU
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Credential |
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Telephone | 443-739-5882
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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