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General NPI Number Information
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NPI Number | 1528901857
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Entity Type | Organization
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Legal Business Name | STI HEALTH & WELLNESS LLC
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Dates
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Enumeration Date | 04/13/2026
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Last Update Date | 04/13/2026
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Provider Practice Location Address
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Address Line | 2288 BLUE WATER BLVD STE 5
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City | ODENTON
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State | MD
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Zip | 21113-3309
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Country | US
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Telephone | 301-352-9048
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Fax | 301-352-9050
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Provider Business Mailing Address
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Address Line | 11106 PROSPECT HILL RD
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City | GLENN DALE
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State | MD
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Zip | 20769-9454
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Country | US
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Telephone | 301-352-9048
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Fax | 301-352-9050
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | PRISCILLA CHARLES
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Credential |
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Telephone | 301-352-9048
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management 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 | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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