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General NPI Number Information
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NPI Number | 1528724499
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Entity Type | Organization
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Legal Business Name | METEORA COUNSELING ASSOCIATES, LLC
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Dates
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Enumeration Date | 11/15/2021
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Last Update Date | 03/06/2025
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Provider Practice Location Address
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Address Line | 5412 KLEE MILL RD S
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City | SYKESVILLE
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State | MD
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Zip | 21784-9233
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Country | US
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Telephone | 443-620-3659
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Fax |
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Provider Business Mailing Address
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Address Line | 1332 LONDONTOWN BLVD STE 108D
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City | ELDERSBURG
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State | MD
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Zip | 21784-6587
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Country | US
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Telephone | 443-620-3659
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Fax |
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Authorized Official
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Title or Position | MENTAL HEALTH COUNSELOR
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Name | KARA SLACK
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Credential | LCPC
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Telephone | 443-620-3659
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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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