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General NPI Number Information
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NPI Number | 1568093177
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Entity Type | Organization
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Legal Business Name | LIVETRUE WELLNESS LLC
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Dates
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Enumeration Date | 02/01/2020
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Last Update Date | 12/28/2023
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Provider Practice Location Address
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Address Line | 6340 SECURITY BLVD STE 100
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City | BALTIMORE
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State | MD
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Zip | 21207-5284
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Country | US
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Telephone | 301-323-8265
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Fax |
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Provider Business Mailing Address
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Address Line | 6340 SECURITY BLVD STE 100
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City | BALTIMORE
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State | MD
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Zip | 21207-5284
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KELECHI MADUCHUKWU
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Credential | LCSW-C
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Telephone | 301-219-0634
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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