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General NPI Number Information
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NPI Number | 1821928011
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Entity Type | Organization
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Legal Business Name | JOY EVERLASTING PSYCHIATRIC REHABILITATION PROGRAM, LLC
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Dates
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Enumeration Date | 05/20/2026
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Last Update Date | 05/20/2026
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Provider Practice Location Address
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Address Line | 23-25 E NORTH AVE UPPER LEVEL 2
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City | BALTIMORE
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State | MD
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Zip | 21202
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Country | US
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Telephone | 443-520-1437
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Fax |
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Provider Business Mailing Address
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Address Line | 1635 EDMONDSON AVE
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City | BALTIMORE
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State | MD
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Zip | 21223-1264
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Country | US
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Telephone | 443-520-1437
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JOY EVERLASTING
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Credential | N/A
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Telephone | 443-520-1437
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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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