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General NPI Number Information
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NPI Number | 1861036436
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Entity Type | Organization
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Legal Business Name | THE PSYCHOTHERAPY AND BEHAVIORAL HEALTH NETWORK
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Dates
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Enumeration Date | 11/06/2019
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Last Update Date | 03/04/2025
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Provider Practice Location Address
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Address Line | 44679 ENDICOTT DR STE 300 #431
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City | ASHBURN
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State | VA
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Zip | 20147
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Country | US
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Telephone | 240-428-0465
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Fax | 240-846-3721
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Provider Business Mailing Address
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Address Line | 325 ELLINGTON BOULEVARD PMB 509
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City | GAITHERSBURG
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State | MD
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Zip | 20878
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Country | US
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Telephone | 240-428-0465
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Fax | 240-846-3721
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Authorized Official
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Title or Position | PSYCHOTHERAPIST/OWNER
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Name | MS. BARBARA S ADIKA
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Credential | LCPC
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Telephone | 240-428-0465
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health 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 | 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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