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General NPI Number Information
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NPI Number | 1639074602
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Entity Type | Organization
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Legal Business Name | CHARLIE'S ANGEL COUNSELING & CONSULTING SERVICES, LLC
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Dates
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Enumeration Date | 10/10/2026
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Last Update Date | 10/10/2026
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Provider Practice Location Address
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Address Line | 1005 E PATAPSCO AVE
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City | BALTIMORE
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State | MD
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Zip | 21225-2228
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Country | US
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Telephone | 443-831-0191
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Fax | 410-355-2350
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Provider Business Mailing Address
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Address Line | 1003 E PATAPSCO AVE
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City | BALTIMORE
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State | MD
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Zip | 21225-2228
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Country | US
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Telephone | 443-831-0191
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Fax | 410-355-2350
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Authorized Official
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Title or Position | CEO
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Name | DR. PAMELA DUKES
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Credential | LCPC
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Telephone | 443-831-0191
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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 | NULL
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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State | NULL
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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 | NULL
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Taxonomy #4
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State | NULL
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