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General NPI Number Information
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NPI Number | 1710899273
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Entity Type | Organization
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Legal Business Name | ANNAGRACE CENTER FOR BEHAVIORAL HEALTH LLC
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Dates
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Enumeration Date | 09/21/2026
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Last Update Date | 09/21/2026
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Provider Practice Location Address
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Address Line | 2701 PRINCESS VICTORIA WAY
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City | BOWIE
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State | MD
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Zip | 20721-2439
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Country | US
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Telephone | 240-646-4368
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Fax |
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Provider Business Mailing Address
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Address Line | 2701 PRINCESS VICTORIA WAY
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City | BOWIE
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State | MD
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Zip | 20721-2439
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Country | US
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Telephone | 240-646-4368
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | DR. ANTHONIA OBIANUJU AMALU
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Credential | DR.
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Telephone | 240-646-4368
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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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