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General NPI Number Information
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NPI Number | 1578194635
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Entity Type | Organization
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Legal Business Name | H.O.P.E BEHAVIORAL HEALTH
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Dates
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Enumeration Date | 01/28/2020
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Last Update Date | 01/28/2020
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Provider Practice Location Address
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Address Line | 3261 OLD WASHINGTON RD STE 3021
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City | WALDORF
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State | MD
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Zip | 20602-3229
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Country | US
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Telephone | 240-579-5658
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Fax |
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Provider Business Mailing Address
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Address Line | 3261 OLD WASHINGTON RD STE 3021
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City | WALDORF
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State | MD
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Zip | 20602-3229
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Country | US
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Telephone | 240-579-5658
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | TAMEKA PRICE
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Credential | LCSW-C
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Telephone | 240-299-5985
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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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 | 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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Taxonomy #4
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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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 | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #6
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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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