Copious Life, LLC

Clinical Social Worker · Berwyn Heights, MD

Organization Active NPI

NPI number 1295038313

Practice location

6201 Greenbelt Rd
Berwyn Heights, MD 20740-2354
Phone
(202) 906-9588

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NPI record

NPI
1295038313
Entity type
Organization (Type 2)
Enumeration date
December 11, 2010
Last updated
December 11, 2010
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Social Worker Primary 1041C0700X 14543 MD

Mailing address

PO Box 30381
Bethesda, MD 20824-0381
Phone
(202) 906-9588

Authorized official

Name
Mr. Phillip Anthony Reynolds, LCSW-C
Title
CEO & President
Phone
(202) 906-9588

About Copious Life, LLC

Copious Life, LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Clinical Social Worker (code 1041C0700X). The practice location is 6201 Greenbelt Rd, Berwyn Heights, MD 20740-2354. The NPI number 1295038313 was assigned on December 11, 2010 and the record was last updated on December 11, 2010.

Copious Life, LLC lists a license in the registry: #14543 (MD) for Clinical Social Worker. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Mr. Phillip Anthony Reynolds, LCSW-C, CEO & President.

Frequently asked questions

What is the NPI number of Copious Life, LLC?

The NPI number is 1295038313.

What is the phone number of Copious Life, LLC?

The phone number listed for the practice location is (202) 906-9588.

Where is Copious Life, LLC located?

6201 Greenbelt Rd, Berwyn Heights, MD 20740-2354.

What is the taxonomy code for Copious Life, LLC?

The primary taxonomy code is 1041C0700X – Clinical Social Worker.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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