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General NPI Number Information
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NPI Number | 1851197503
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Entity Type | Organization
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Legal Business Name | NEURODIVERGENCE AND TRAUMA COUNSELING AND CONSULTATION LLC
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Dates
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Enumeration Date | 02/24/2025
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Last Update Date | 03/22/2025
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Provider Practice Location Address
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Address Line | 5652 SHIELDS DR
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City | BETHESDA
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State | MD
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Zip | 20817-3574
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Country | US
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Telephone | 301-202-4677
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Fax |
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Provider Business Mailing Address
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Address Line | 52 LAKESIDE DR
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City | GREENBELT
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State | MD
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Zip | 20770-1904
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Country | US
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Telephone | 301-221-6991
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | EMILY FRANCIS
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Credential | MS LCPC
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Telephone | 301-202-4677
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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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 | 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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