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General NPI Number Information
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NPI Number | 1700583135
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Entity Type | Organization
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Legal Business Name | EQUITABLE SOLUTIONS CONSULTING GROUP CORP.
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Dates
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Enumeration Date | 02/15/2023
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Last Update Date | 01/08/2025
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Provider Practice Location Address
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Address Line | 4635 FALLS RD
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City | BALTIMORE
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State | MD
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Zip | 21209-4914
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Country | US
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Telephone | 443-869-3065
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Fax |
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Provider Business Mailing Address
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Address Line | 4635 FALLS RD
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City | BALTIMORE
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State | MD
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Zip | 21209-4914
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Country | US
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Telephone | 443-562-9657
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. CHANTA MONIQUE BOOKER
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Credential | ED.D
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Telephone | 443-562-9657
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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 | 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 #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 102X00000X
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Taxonomy Name | Poetry Therapist
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License Number |
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License Number State |
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Taxonomy #5
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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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Taxonomy #6
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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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Taxonomy #7
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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