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General NPI Number Information
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NPI Number | 1548548480
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Entity Type | Organization
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Legal Business Name | SYNERGY COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 07/26/2011
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Last Update Date | 04/03/2025
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Provider Practice Location Address
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Address Line | 2230 N CALVERT ST
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City | BALTIMORE
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State | MD
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Zip | 21218-5813
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Country | US
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Telephone | 410-299-1528
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2557
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City | SHALLOTTE
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State | NC
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Zip | 28459-2557
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Country | US
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Telephone | 410-299-1528
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATIVE DIRECTOR
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Name | THERESA A MURPHY-LIBRIE
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Credential |
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Telephone | 410-299-1528
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 15900
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License Number State | MD
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