institution
Premiere Therapeutic Services, Llc
Professional Counselor in Baltimore, Maryland
NPI 1740587179

Premiere Therapeutic Services, Llc is a Professional Counselor based in Baltimore, MD and is specialized in Professional. Premiere Therapeutic Services, Llc practices in Baltimore, MD. The NPI Number for Premiere Therapeutic Services, Llc is 1740587179 and holds a License No. LC2117 (Maryland).

The current practice location address for Premiere Therapeutic Services, Llc is 5516 Todd Ave, Baltimore, MD and can be reached out via phone at 410-615-2931.

Location: 5516 Todd Ave, Baltimore, MD, 21218-5634
institution
Provider Profile Details
NPI Number
1740587179
Provider Name
Premiere Therapeutic Services, Llc
Credential
Provider Entity Type
Organization
Address
5516 Todd Ave, Baltimore, MD, 21218-5634
Phone Number
410-615-2931
Fax Number
Provider Enumeration Date
02/21/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0244686 00 05 MD
5542251 05 MD
institution
Provider Business Practice Location Address Details
Address
5516 Todd Ave
City
State
Zip
21206-3721
Phone Number
410-615-2931
Fax Number
person
Provider Business Mailing Address Details
Address
5516 Todd Ave
City
State
Zip
21206-3721
Phone Number
410-615-2931
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LC2117 (Maryland)
Definition
Definition to come...
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