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General NPI Number Information
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NPI Number | 1922793736
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Entity Type | Organization
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Legal Business Name | STRONG MYNDS ORG INC
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Dates
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Enumeration Date | 04/07/2023
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Last Update Date | 04/11/2023
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Provider Practice Location Address
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Address Line | 9426 STEWARTOWN RD STE 3B
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City | GAITHERSBURG
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State | MD
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Zip | 20879-1601
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Country | US
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Telephone | 915-474-2344
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Fax | 601-510-9291
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Provider Business Mailing Address
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Address Line | 509 QUINCE ORCHARD RD # 224
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City | GAITHERSBURG
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State | MD
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Zip | 20878-1435
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Country | US
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Telephone | 915-474-2344
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Fax | 601-510-9291
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Authorized Official
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Title or Position | CEO
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Name | ROGENIA PARKER
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Credential | LCSW
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Telephone | 601-497-7551
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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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 | 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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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #4
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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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Taxonomy #5
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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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Taxonomy #6
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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