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General NPI Number Information
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NPI Number | 1639805849
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Entity Type | Organization
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Legal Business Name | LIFE LOVE & PERSPECTIVE COUNSELING LLC
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Dates
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Enumeration Date | 07/29/2022
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Last Update Date | 09/06/2022
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Provider Practice Location Address
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Address Line | 6700 ALEXANDER BELL DR STE 200
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City | COLUMBIA
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State | MD
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Zip | 21046-2105
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Country | US
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Telephone | 410-507-7213
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Fax |
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Provider Business Mailing Address
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Address Line | 1250 CONNECTICUT AVE NW STE 700
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City | WASHINGTON
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State | DC
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Zip | 20036-2657
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Country | US
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Telephone | 202-913-5318
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Fax |
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Authorized Official
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Title or Position | CLINICAL SOCIAL WORKER
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Name | KARLISSA WISE
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Credential | LCSW-C
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Telephone | 410-507-7213
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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