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Life Support Clinical Counseling Service Llc/prp
Community/Behavioral Health Agency in Glen Burnie, Maryland
NPI 1477186278

Life Support Clinical Counseling Service Llc/prp is a Community/Behavioral Health Agency based in Severn, MD. Life Support Clinical Counseling Service Llc/prp practices in Glen Burnie, MD. The NPI Number for Life Support Clinical Counseling Service Llc/prp is 1477186278 and holds a License No. (Maryland).

The current practice location address for Life Support Clinical Counseling Service Llc/prp is 1412 Crain Hwy N Ste 6B, Glen Burnie, MD and can be reached out via phone at 410-980-3163 and via fax at 410-969-2958.

Location: 1412 Crain Hwy N Ste 6B, Glen Burnie, MD, 21144-2789
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1477186278
Provider Name
Life Support Clinical Counseling Service Llc/prp
Credential
Provider Entity Type
Organization
Address
1412 Crain Hwy N Ste 6B, Glen Burnie, MD, 21144-2789
Phone Number
410-980-3163
Fax Number
410-969-2958
Provider Enumeration Date
02/20/2020
Last Update Date
03/10/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
H-540-048-738-351 01 MD DRIVER LICENSE
institution
Provider Business Practice Location Address Details
Address
1412 Crain Hwy N Ste 6B
City
Glen Burnie
State
Maryland
Zip
21061-9306
Phone Number
410-980-3163
Fax Number
410-969-2958
person
Provider Business Mailing Address Details
Address
1412 Crain Hwy N Ste 6B
City
Glen Burnie
State
Maryland
Zip
21061-9306
Phone Number
410-980-3163
Fax Number
410-969-2958
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
()
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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