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NPI Code Detail

MEDICARE: SHAPING

MEDICARE: SHAPING
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
1101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1144097049
Entity Type Code : Organization
Provider Name (Legal Business Name) : SHAPING
Provider Business Mailing Address
First Line : 2742 SWEET CLOVER CT
Second Line :
City : SILVER SPRING
State : MD
Zip : 20904-1888
Country : US
Telephone Number : 301-254-7845
Fax Number :
Provider Business Practice Location Address
First Line : 15630 OLD COLUMBIA PIKE # 178
Second Line :
City : BURTONSVILLE
State : MD
Zip : 20866-1617
Country : US
Telephone Number : 301-254-7845
Fax Number :
Authorized Official
Title or Position : THERAPIST
Name : MRS. KAREN JOYNER
Credential : LCPC, NCC
Telephone Number : 301-254-7845
Provider Enumeration Date : 12/11/2023
Last Update Date : 10/15/2024

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Directions to “SHAPING ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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