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General NPI Number Information
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NPI Number | 1881497030
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Entity Type | Organization
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Legal Business Name | LARTEY WELLNESS GROUP LLC
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Dates
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Enumeration Date | 03/31/2025
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Last Update Date | 03/31/2025
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Provider Practice Location Address
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Address Line | 312 MARSHALL AVE STE 908
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City | LAUREL
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State | MD
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Zip | 20707-4824
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Country | US
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Telephone | 800-994-5403
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Fax |
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Provider Business Mailing Address
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Address Line | 8101 SANDY SPRING RD STE 250H
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City | LAUREL
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State | MD
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Zip | 20707-3527
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Country | US
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Telephone | 301-524-2273
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | FRANKLIN LARTEY
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Credential |
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Telephone | 301-524-2273
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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