institution
Therapy @ 9811 Inc
Counselor in Laurel, Maryland
NPI 1376823823

Therapy @ 9811 Inc is a Counselor based in Greenbelt, MD. Therapy @ 9811 Inc practices in Laurel, MD. The NPI Number for Therapy @ 9811 Inc is 1376823823 and holds a License No. LC2025 (Maryland).

The current practice location address for Therapy @ 9811 Inc is 9811 Mallard Dr, Laurel, MD and can be reached out via phone at 301-525-3205.

Location: 9811 Mallard Dr, Laurel, MD, 20770-2244
institution
Provider Profile Details
NPI Number
1376823823
Provider Name
Therapy @ 9811 Inc
Credential
Provider Entity Type
Organization
Address
9811 Mallard Dr, Laurel, MD, 20770-2244
Phone Number
301-525-3205
Fax Number
Provider Enumeration Date
08/27/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ID NUMBER IS TAX ID 01 MHN
1875 01 CAREFIRST BLUE CROSS BLUE SHIELD
413473700 05 MD
676619 01 VALUE OPTIONS
NO NUMBER ASSIGNED 01 CORPHEALTH
676619 01 UNITED BEHAVIORAL HEALTH
NO NUMBER ASSIGNED 01 CERIDIAN EAP
01217038 01 AMERIGROUP MEDICAID
1875-0001 01 CAREFIST FEP
ID NUMBER IS AN NPI 01 TRICARE
NO NUMBER ASSIGNED 01 FIRST ADVANTAGE EAP
NO NUMBER ASSIGNED 01 CAREBRIDGE EAP
NO NUMBER ASSIGNED 01 INOVA EAP
55STJE 01 CAREFIRST OF MARYLAND
7695828 01 AETNA (MHMO, MPPO, MEPO, MCPPO, EAP)
institution
Provider Business Practice Location Address Details
Address
9811 Mallard Dr
City
State
Zip
20708-3143
Phone Number
301-525-3205
Fax Number
person
Provider Business Mailing Address Details
Address
9811 Mallard Dr
City
State
Zip
20708-3143
Phone Number
301-525-3205
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
LC2025 (Maryland)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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