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General NPI Number Information
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NPI Number | 1689537417
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Entity Type | Organization
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Legal Business Name | PEACE AND PROGRESS BEHAVIORAL HEALTH SERVICES, LLC
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Dates
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Enumeration Date | 12/08/2025
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 1343 STONEWOOD RD.
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City | BALTIMORE
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State | MD
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Zip | 21239
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Country | US
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Telephone | 910-939-1003
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Fax |
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Provider Business Mailing Address
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Address Line | 5835 YORK RD # 1124
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City | BALTIMORE
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State | MD
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Zip | 21212-3612
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Country | US
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Telephone | 910-939-1003
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Fax |
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | MRS. DANIELLE JONES-HIGGINBOTTOM
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Credential | LCSW
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Telephone | 910-939-1003
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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 |
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License Number State |
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