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General NPI Number Information
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NPI Number | 1588527691
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Entity Type | Organization
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Legal Business Name | REQUIEM COVE COUNSELING, LLC
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Dates
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Enumeration Date | 12/05/2025
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Last Update Date | 12/07/2025
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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 | 410-357-1268
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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 | 410-357-1268
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Fax |
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Authorized Official
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Title or Position | THERAPIST/OWNER
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Name | JADE SHAPIRO
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Credential | MSW, LCSW-C
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Telephone | 410-357-1268
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 221700000X
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Taxonomy Name | Art Therapist
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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 | 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 #3
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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