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General NPI Number Information
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NPI Number | 1982217154
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Entity Type | Organization
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Legal Business Name | CENTER WELL COUNSELING LLC
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Dates
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Enumeration Date | 08/27/2020
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Last Update Date | 08/27/2020
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Provider Practice Location Address
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Address Line | 405 ALLEGHENY AVE
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City | TOWSON
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State | MD
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Zip | 21204-4256
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Country | US
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Telephone | 443-353-0308
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Fax |
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Provider Business Mailing Address
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Address Line | 405 ALLEGHENY AVE
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City | TOWSON
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State | MD
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Zip | 21204-4256
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Country | US
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Telephone | 144-335-3030
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. ELAINA S HIRSCH
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Credential | LCPC
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Telephone | 443-353-0308
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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