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General NPI Number Information
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NPI Number | 1770281248
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Entity Type | Organization
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Legal Business Name | HACIA EL BIENESTAR LLC
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Dates
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Enumeration Date | 02/23/2023
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Last Update Date | 05/31/2023
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Provider Practice Location Address
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Address Line | 4104 MAPLE RD
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City | MORNINGSIDE
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State | MD
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Zip | 20746-3512
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Country | US
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Telephone | 240-795-6595
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Fax |
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Provider Business Mailing Address
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Address Line | 4104 MAPLE RD
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City | MORNINGSIDE
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State | MD
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Zip | 20746-3512
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Country | US
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Telephone | 240-795-6595
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Fax |
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Authorized Official
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Title or Position | BILINGUAL THERAPIST
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Name | MS. ANASTASIA KOTSAKIS
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Credential | LCPC
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Telephone | 240-795-6595
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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