| Raven Keturah Ellis, LCPC | |
|
3525 Resource Drive Room C47, Randallstown, MD 21133 | |
| (410) 655-7655 | |
| (410) 655-3941 |
| Full Name | Raven Keturah Ellis |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 3525 Resource Drive Room C47, Randallstown, Maryland |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003909664 | NPI | - | NPPES |
| 251690 | Other | COMPSYCH | |
| 64558301 | Other | CAREFIRST MD | |
| R5830050 | Other | CAREFIRST EHMSI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LC1921 (Maryland) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Raven Keturah Ellis, LCPC 10400 Ridgeland Road Ste 1, Cockeysville, MD 21030 Ph: (410) 628-6120 | Raven Keturah Ellis, LCPC 3525 Resource Drive Room C47, Randallstown, MD 21133 Ph: (410) 655-7655 |
Mr. Stephen M Calvit, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3918 Red Deer Cir, Randallstown, MD 21133 Phone: 832-492-0120 | |
Eathell Bernice Lewis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9331 Liberty Rd Suite 2c, Randallstown, MD 21133 Phone: 443-414-9699 | |
Mr. Paul N Sacks, LCADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3525 Resource Drive Room C47, Randallstown, MD 21133 Phone: 410-655-7655 Fax: 410-655-3941 | |
Tara Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3500 Orchard Shade Rd, Randallstown, MD 21133 Phone: 443-488-3779 | |
Tahna Purnell, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8930 Church Ln, Randallstown, MD 21133 Phone: 410-371-6456 | |
Kelly Monique Turner Woolford, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5310 Old Court Rd Ste 204, Randallstown, MD 21133 Phone: 410-977-5100 |