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General NPI Number Information
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NPI Number | 1831785641
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Entity Type | Organization
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Legal Business Name | EVOLVE COUNSELING GROUP
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Dates
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Enumeration Date | 12/15/2020
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Last Update Date | 11/17/2021
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Provider Practice Location Address
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Address Line | 8894 STANFORD BLVD STE 103
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City | COLUMBIA
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State | MD
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Zip | 21045-5161
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Country | US
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Telephone | 301-792-0851
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Fax | 347-903-6927
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Provider Business Mailing Address
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Address Line | 8894 STANFORD BLVD STE 103
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City | COLUMBIA
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State | MD
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Zip | 21045-5161
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Country | US
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Telephone | 301-792-0851
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Fax | 347-903-6927
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Authorized Official
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Title or Position | OWNER
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Name | GEORGIANA AVRAM
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Credential |
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Telephone | 301-792-0851
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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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