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NPI Code Detail

MEDICARE: CAROLYN THORPE

MEDICARE: CAROLYN THORPE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorLC17503MD

General Provider Information

NPI Number : 1003769696
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROLYN THORPE
Provider Business Mailing Address
First Line : 5433 EL CAMINO
Second Line :
City : COLUMBIA
State : MD
Zip : 21044-1110
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5433 EL CAMINO
Second Line :
City : COLUMBIA
State : MD
Zip : 21044-1110
Country : US
Telephone Number : 240-259-8134
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2026
Last Update Date : 02/16/2026

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