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General NPI Number Information
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NPI Number | 1750940508
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Entity Type | Organization
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Legal Business Name | REFLECTIVE REASONING LLC
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Dates
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Enumeration Date | 06/06/2019
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Last Update Date | 06/11/2019
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Provider Practice Location Address
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Address Line | 260 GATEWAY DR STE 16B
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City | BEL AIR
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State | MD
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Zip | 21014-4203
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Country | US
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Telephone | 443-360-5367
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Fax |
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Provider Business Mailing Address
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Address Line | 2812 VAN HORN RD
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City | FOREST HILL
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State | MD
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Zip | 21050-2002
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Country | US
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Telephone | 917-202-6267
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. EARLENE MELISSA WILLIAMS
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Credential | LCPC
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Telephone | 443-360-5367
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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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Taxonomy #2
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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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