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General NPI Number Information
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NPI Number | 1518857689
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Entity Type | Organization
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Legal Business Name | PERINATAL WELLNESS LLC
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Dates
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Enumeration Date | 07/08/2025
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Last Update Date | 07/08/2025
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Provider Practice Location Address
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Address Line | 9931 OLD OCEAN CITY BLVD
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City | BERLIN
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State | MD
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Zip | 21811-1141
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Country | US
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Telephone | 302-329-8767
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Fax |
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Provider Business Mailing Address
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Address Line | 9931 OLD OCEAN CITY BLVD
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City | BERLIN
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State | MD
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Zip | 21811-1141
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Country | US
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Telephone | 302-329-8767
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. BROOKE LEE MANLEY
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Credential | LCPC, PMH-C
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Telephone | 302-329-8767
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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