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General NPI Number Information
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NPI Number | 1730832049
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Entity Type | Organization
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Legal Business Name | HOMESTEAD ART THERAPY & COUNSELING LLC
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Dates
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Enumeration Date | 01/27/2022
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Last Update Date | 01/27/2022
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Provider Practice Location Address
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Address Line | 24240 JAMES MONROE HWY
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City | ALDIE
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State | VA
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Zip | 20105-2732
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Country | US
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Telephone | 703-861-1667
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Fax |
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Provider Business Mailing Address
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Address Line | 15451 EAGLE TAVERN LN
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City | CENTREVILLE
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State | VA
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Zip | 20120-3718
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Country | US
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Telephone | 908-868-4153
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MONICA DELANEY
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Credential | LPC
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Telephone | 703-861-1667
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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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