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NPI 1922959766

NPI 1922959766 : TEMAH HEALTHCARE SERVICES, LLC : COCKEYSVILLE, MD

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General NPI Number Information
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    NPI Number           |    1922959766
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    Entity Type          |    Organization 
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    Legal Business Name  |    TEMAH HEALTHCARE SERVICES, LLC 
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Dates
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    Enumeration Date     |    02/06/2026
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    Last Update Date     |    02/10/2026
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Provider Practice Location Address
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    Address Line         |    50 SCOTT ADAM RD STE 204 
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    City                 |    COCKEYSVILLE
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    State                |    MD
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    Zip                  |    21030-3295
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    Country              |    US
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    Telephone            |    410-521-8000
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    Fax                  |    410-655-5826
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Provider Business Mailing Address
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    Address Line         |    4320 BROOKSIDE OAKS ROAD 
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    City                 |    OWINGS MILLS
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    State                |    MD
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    Zip                  |    21117
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    Country              |    US
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    Telephone            |    410-521-8000
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    Fax                  |    410-655-5826
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Authorized Official
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    Title or Position    |    PROGRAM DIRECTOR
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    Name                 |     TEMITOPE S WILLIAMS 
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    Credential           |    CRNP, PMHNP, FNP-BC
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    Telephone            |    410-521-8000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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    Taxonomy Code        |    104100000X
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    Taxonomy Name        |    Social Worker
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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        |    363L00000X
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    Taxonomy Name        |    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        |    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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