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General NPI Number Information
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NPI Number | 1811496474
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Entity Type | Organization
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Legal Business Name | FAMILIES ACHIEVING MORE, LLC
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Dates
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Enumeration Date | 02/08/2018
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Last Update Date | 07/07/2020
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Provider Practice Location Address
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Address Line | 14201 OLD STAGE RD
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City | BOWIE
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State | MD
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Zip | 20720-4880
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Country | US
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Telephone | 301-821-7716
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Fax |
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Provider Business Mailing Address
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Address Line | 11205 WESTPORT DR
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City | BOWIE
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State | MD
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Zip | 20720-3411
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Country | US
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Telephone | 301-821-7716
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Fax |
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Authorized Official
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Title or Position | OWNER/CLINICAL DIRECTOR
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Name | KELVIN L MITCHELL
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Credential | LCSW-C
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Telephone | 301-821-7716
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 15294
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License Number State | MD
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