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General NPI Number Information
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NPI Number | 1790671154
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Entity Type | Organization
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Legal Business Name | GINN COUNSELING LLC
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Dates
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Enumeration Date | 06/13/2025
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Last Update Date | 07/08/2025
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Provider Practice Location Address
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Address Line | 3940 HICKORY AVE
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City | BALTIMORE
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State | MD
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Zip | 21211-1834
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Country | US
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Telephone | 724-633-7966
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Fax |
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Provider Business Mailing Address
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Address Line | 3940 HICKORY AVE
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City | BALTIMORE
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State | MD
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Zip | 21211-1834
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Country | US
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Telephone | 724-633-7966
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LEON GINN
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Credential | LCPC, LPC
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Telephone | 724-633-7966
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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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 #3
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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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