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General NPI Number Information
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NPI Number | 1659987543
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Entity Type | Organization
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Legal Business Name | WELLBEING DESIGNED, LLC
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Dates
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Enumeration Date | 09/17/2020
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Last Update Date | 08/30/2024
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Provider Practice Location Address
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Address Line | 8894 STANFORD BLVD STE 103
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City | COLUMBIA
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State | MD
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Zip | 21045-5161
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Country | US
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Telephone | 240-997-8512
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Fax | 410-741-3689
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Provider Business Mailing Address
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Address Line | 8894 STANFORD BLVD STE 103
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City | COLUMBIA
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State | MD
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Zip | 21045-5161
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Country | US
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Telephone |
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Fax | 410-741-3689
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Authorized Official
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Title or Position | OWNER/PSYCHOLOGIST
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Name | DR. CLAUDETTE KIRKMAN
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Credential |
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Telephone | 240-997-8512
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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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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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