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General NPI Number Information
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NPI Number | 1972037828
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Entity Type | Organization
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Legal Business Name | ANCHORED HOPE THERAPY, LLC
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Dates
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Enumeration Date | 04/18/2017
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Last Update Date | 04/18/2017
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Provider Practice Location Address
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Address Line | 1997 ANNAPOLIS EXCHANGE PKWY SUITE 300
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City | ANNAPOLIS
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State | MD
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Zip | 21401-3271
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Country | US
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Telephone | 410-972-4529
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Fax | 410-972-4701
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Provider Business Mailing Address
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Address Line | 1997 ANNAPOLIS EXCHANGE PKWY SUITE 300
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City | ANNAPOLIS
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State | MD
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Zip | 21401-3271
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Country | US
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Telephone | 410-972-4529
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Fax | 410-972-4701
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Authorized Official
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Title or Position | CO-FOUNDER/THERAPIST
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Name | CHELSEA HAVERLY
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Credential | LCSW-C
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Telephone | 410-972-4529
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 17004
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License Number State | MD
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