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General NPI Number Information
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NPI Number | 1548898398
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Entity Type | Organization
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Legal Business Name | AUTHENTIC RESILIENCE COUNSELING & CONSULTING, LLC.
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Dates
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Enumeration Date | 03/28/2020
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Last Update Date | 11/30/2020
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Provider Practice Location Address
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Address Line | 6400 BALTIMORE NATIONAL PIKE STE 170A-204
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City | BALTIMORE
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State | MD
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Zip | 21228-3930
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Country | US
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Telephone | 443-842-5446
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Fax |
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Provider Business Mailing Address
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Address Line | 4511 BIRCHWOOD DR
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City | BALTIMORE
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State | MD
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Zip | 21229-2490
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Country | US
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Telephone | 443-842-5446
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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 | MS. OPRAH KEYES
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Credential | LCSW-C
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Telephone | 443-842-5446
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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 |
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License Number State |
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