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General NPI Number Information
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NPI Number | 1578355491
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Entity Type | Organization
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Legal Business Name | RESILIENCE EMDR THERAPY LLC
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Dates
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Enumeration Date | 05/19/2025
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Last Update Date | 06/03/2025
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Provider Practice Location Address
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Address Line | 5000 THAYER CTR STE C
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City | OAKLAND
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State | MD
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Zip | 21550-1139
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Country | US
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Telephone | 443-821-7224
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Fax |
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Provider Business Mailing Address
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Address Line | 5000 THAYER CTR STE C
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City | OAKLAND
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State | MD
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Zip | 21550-1139
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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 | MENTAL HEALTH CLINICIAN
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Name | JULIE YOOK
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Credential |
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Telephone | 443-821-7224
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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