Suburban Pastoral Counseling Clinic Inc in Ellicott City - Professional

Suburban Pastoral Counseling Clinic Inc - NPI 1588654701

Suburban Pastoral Counseling Clinic Inc is a Professional in Ellicott City, Maryland. Suburban Pastoral Counseling Clinic Inc practices all healthcare services and medical treatments related to Professional. The NPI Number for Suburban Pastoral Counseling Clinic Inc is 1588654701. The last update date is 2019-08-04.

Suburban Pastoral Counseling Clinic Inc's current location address is 3570 Saint Johns Ln Ste 207, Ellicott City, Maryland. You can contact this provider via phone number 4107190086 and fax number 4432512664. The mailing address for Suburban Pastoral Counseling Clinic Inc is 3570 Saint Johns Ln Ste 207, Ellicott City, Maryland. To know further, please read the information below!

Provider Profile Detail

Provider Organization Suburban Pastoral Counseling Clinic Inc
Address 3570 Saint Johns Ln Ste 207, Ellicott City, Maryland
Phone Number 4107190086
Fax Number 4432512664
Sole Proprietor --
Credentials --

Authorized Official

Title or Position EXECUTIVE
Authorized Official Name Bain Margaret Elaine
Credentials PHD., LCPC
Telephone Number 4107190086

NPI Number Detail

NPI Number 1588654701
Provider Enumeration Date 2005-10-27
Last Updated Date 2019-08-04

Provider Mailing Address Detail

Address 3570 Saint Johns Ln Ste 207
City Ellicott City
State Maryland (MD)
Post Code 210424046
Phone Number 4107190086
Fax Number 4432512664

Provider's Primary Taxonomy Detail

Speciality Professional
Taxonomy 101Yp2500X
Licence No LC1801
Definition:
A general counselor who helps people with personal, social, educational, and career issues.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
R039 MD CAREFIRST FEDERAL
104796500 MD --
QR62SU MD CAREFIRST MD

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FAQs about Suburban Pastoral Counseling Clinic Inc

What is the unique identifier code issued to Suburban Pastoral Counseling Clinic Inc by the Centers for Medicare & Medicaid Services (CMS)?

The Suburban Pastoral Counseling Clinic Inc has been assigned the NPI (National Provider Identifier) 1588654701. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you share the physical location details of Suburban Pastoral Counseling Clinic Inc?

The Suburban Pastoral Counseling Clinic Inc is situated at 3570 Saint Johns Ln Ste 207, in the city of Ellicott City, state of MD, with the zip code 210424046.

What is Suburban Pastoral Counseling Clinic Inc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Suburban Pastoral Counseling Clinic Inc is Professional, and the taxonomy classification code that categorizes this area of expertise is 101Yp2500X.

On what date was the 1588654701 assigned to Suburban Pastoral Counseling Clinic Inc?

The Suburban Pastoral Counseling Clinic Inc was issued its 1588654701 on 2005-10-27, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Suburban Pastoral Counseling Clinic Inc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Suburban Pastoral Counseling Clinic Inc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2019-08-04.

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