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General NPI Number Information
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NPI Number | 1649659442
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Entity Type | Organization
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Legal Business Name | TRU-INTEGRITY WELLNESS & COUNSELING CENTER
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Dates
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Enumeration Date | 05/26/2015
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Last Update Date | 12/09/2021
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Provider Practice Location Address
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Address Line | 1900 E. NORTHERN PKWY SUITE T-7
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City | BALTIMORE
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State | MD
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Zip | 21239-2113
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Country | US
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Telephone | 443-449-7573
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Fax | 443-449-7583
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Provider Business Mailing Address
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Address Line | 1900 E. NORTHERN PKWY SUITE T-7
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City | BALTIMORE
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State | MD
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Zip | 21239-2113
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Country | US
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Telephone | 443-449-7573
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Fax | 443-449-7583
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Authorized Official
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Title or Position | OWNER
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Name | LULA MOULTRIE HEATLEY
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Credential | LCSW-C
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Telephone | 240-273-8062
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 16665
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License Number State | MD
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Taxonomy #2
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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 |
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