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General NPI Number Information
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NPI Number | 1528549748
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Entity Type | Organization
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Legal Business Name | BEYOND HEALING COUNSELING & CONSULTATION, LLC
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Dates
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Enumeration Date | 08/25/2018
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Last Update Date | 08/01/2024
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Provider Practice Location Address
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Address Line | 814 W DIAMOND AVE STE 310
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City | GAITHERSBURG
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State | MD
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Zip | 20878-1416
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Country | US
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Telephone | 240-626-3079
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Fax | 855-233-1722
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Provider Business Mailing Address
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Address Line | 22505 GATEWAY CENTER DR UNIT 330
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City | CLARKSBURG
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State | MD
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Zip | 20871-7515
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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. VEARA BUTLER
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Credential | MS, LCPC, NCC
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Telephone | 240-499-2839
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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 | LC8886
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License Number State | MD
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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 | LC8886
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License Number State | MD
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