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General NPI Number Information
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NPI Number | 1639745128
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Entity Type | Organization
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Legal Business Name | BEHAVIORAL HEALTH PATHWAYS
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Dates
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Enumeration Date | 06/03/2021
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Last Update Date | 08/04/2021
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Provider Practice Location Address
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Address Line | 57 W TIMONIUM RD STE 207
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City | TIMONIUM
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State | MD
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Zip | 21093-3105
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Country | US
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Telephone | 443-504-4658
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Fax |
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Provider Business Mailing Address
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Address Line | 3614 LAGUNA CT
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City | RANDALLSTOWN
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State | MD
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Zip | 21133-2519
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Country | US
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Telephone | 443-504-4658
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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 | MS. DONICA HARPER
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Credential | LCPC
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Telephone | 443-504-4658
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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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