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General NPI Number Information
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NPI Number | 1669342119
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Entity Type | Organization
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Legal Business Name | EMBODY MIND LLC
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Dates
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Enumeration Date | 11/10/2025
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Last Update Date | 11/10/2025
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Provider Practice Location Address
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Address Line | 10129 CHARINGTON RD
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City | COCKEYSVILLE
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State | MD
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Zip | 21030-3317
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Country | US
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Telephone | 410-301-8727
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Fax |
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Provider Business Mailing Address
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Address Line | 10129 CHARINGTON RD
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City | COCKEYSVILLE
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State | MD
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Zip | 21030-3317
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Country | US
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Telephone | 410-301-8727
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Fax |
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Authorized Official
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Title or Position | THERAPIST, COUNSELOR
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Name | VERONICA GUGEL
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Credential | MS, LGPC
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Telephone | 410-301-8727
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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