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General NPI Number Information
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NPI Number | 1659159358
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Entity Type | Organization
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Legal Business Name | HYGEA HEALTHCARE, INC.
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Dates
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Enumeration Date | 09/15/2023
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Last Update Date | 08/11/2025
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Provider Practice Location Address
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Address Line | 6415 BELAIR RD STE A
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City | BALTIMORE
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State | MD
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Zip | 21206-1841
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Country | US
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Telephone | 410-559-1800
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Fax |
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Provider Business Mailing Address
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Address Line | 400 REDLAND CT STE 102
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City | OWINGS MILLS
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State | MD
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Zip | 21117-3291
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Country | US
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Telephone | 410-559-1800
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JORDANA BLESA
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Credential |
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Telephone | 626-375-3309
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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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 | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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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 | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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