Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Bethany Felisa Miracle-Larson, RESIDENT

Individual provider Counselor · NPI 1558752626

Bethany Felisa Miracle-Larson, RESIDENT is a Counselor in Bel Air, Maryland. Works from 2 locations. Licensed in Virginia.

Licensed in
VA
In the registry since
2015
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Practice location Address checks out

1208 E Churchville Rd Ste 300
Bel Air, MD 21014-3485
Phone: (410) 893-4600
Fax: (410) 995-7846
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7046 Leestone St, Springfield, VA 22151-3518 — (571) 422-0056

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence 0704010024 (VA)

Record details

NPI number1558752626
Entity typeIndividual (Type 1)
GenderFemale
Credentials RESIDENT
Sole proprietorNo
NPI enumeratedFebruary 11, 2015
Last updated in NPPESFebruary 4, 2019

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