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NPI 1538012869

NPI 1538012869 : HOPE AND LIGHT CLINICAL COUNSELING : CENTREVILLE, MD

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General NPI Number Information
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    NPI Number           |    1538012869
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    Entity Type          |    Organization 
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    Legal Business Name  |    HOPE AND LIGHT CLINICAL COUNSELING 
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Dates
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    Enumeration Date     |    02/17/2026
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    Last Update Date     |    02/17/2026
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Provider Practice Location Address
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    Address Line         |    138 E BROOK DR 
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    City                 |    CENTREVILLE
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    State                |    MD
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    Zip                  |    21617-2766
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    Country              |    US
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    Telephone            |    443-994-7670
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    138 E BROOK DR 
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    City                 |    CENTREVILLE
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    State                |    MD
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    Zip                  |    21617-2766
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    Country              |    US
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    Telephone            |    443-994-7670
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER/SOCIAL WORKER
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    Name                 |     AMANDA  RICHARDSON 
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    Credential           |    LCSW-C, LICSW
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    Telephone            |    443-994-7670
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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