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General NPI Number Information
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NPI Number | 1558322198
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Entity Type | Organization
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Legal Business Name | INSPIRIT COUNSELING SERVICES, INC.
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Dates
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Enumeration Date | 03/31/2006
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Last Update Date | 04/02/2020
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Provider Practice Location Address
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Address Line | 5407 N CHARLES ST
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City | BALTIMORE
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State | MD
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Zip | 21210-2024
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Country | US
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Telephone | 410-433-8861
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Fax | 410-433-1249
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Provider Business Mailing Address
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Address Line | 5407 N CHARLES ST
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City | BALTIMORE
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State | MD
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Zip | 21210-2024
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Country | US
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Telephone | 410-433-8861
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Fax | 410-433-1249
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Authorized Official
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Title or Position | DEVELOPMENTAL DIRECTOR
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Name | JOHN MICHALCZYK
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Credential | LCPC
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Telephone | 410-433-8861
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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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 | 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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Taxonomy #4
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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