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General NPI Number Information
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NPI Number | 1669367991
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Entity Type | Organization
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Legal Business Name | CENTERED EMPOWERMENT PSYCHOLOGICAL SERVICES, LLC
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Dates
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Enumeration Date | 06/09/2025
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Last Update Date | 06/09/2025
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Provider Practice Location Address
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Address Line | 6230 3RD ST NW
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City | WASHINGTON
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State | DC
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Zip | 20011
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Country | US
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Telephone | 202-643-3794
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Fax |
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Provider Business Mailing Address
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Address Line | 7304 CARROLL AVE
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City | TAKOMA PARK
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State | MD
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Zip | 20912-4514
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TY ROBINSON
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Credential | ED.M.
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Telephone | 202-643-3794
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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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