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General NPI Number Information
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NPI Number | 1962183244
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Entity Type | Organization
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Legal Business Name | LOVING CARE BEHAVIORAL HEALTH NETWORK, INCORPORATED
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Dates
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Enumeration Date | 07/28/2023
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Last Update Date | 02/10/2026
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Provider Practice Location Address
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Address Line | 10451 MILL RUN CIR STE 400
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City | OWINGS MILLS
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State | MD
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Zip | 21117-5594
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Country | US
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Telephone | 301-755-8596
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Fax |
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Provider Business Mailing Address
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Address Line | 10451 MILL RUN CIR STE 400
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City | OWINGS MILLS
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State | MD
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Zip | 21117-5594
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Country | US
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Telephone | 301-755-8596
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Fax |
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Authorized Official
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Title or Position | PSYCHOTHERAPIST
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Name | PROF. PENNY D GAUER
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Credential | LC12763
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Telephone | 443-650-3004
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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