| Affective Therapeutic Services Llc | |
|
10200 Grand Central Ave Owings Mills MD 21117-4165 | |
| (410) 999-1434 | |
| Not Available |
| Full Name | Affective Therapeutic Services Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 10200 Grand Central Ave, Owings Mills, Maryland |
| Authorized Official Name and Position | Veronica Denise Edwards (OWNER) |
| Authorized Official Contact | 4435271368 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Affective Therapeutic Services Llc 1329 Crofton Rd Baltimore MD 21239-3934 Ph: (443) 527-1368 | Affective Therapeutic Services Llc 10200 Grand Central Ave Owings Mills MD 21117-4165 Ph: (410) 999-1434 |
| NPI Number | 1912515958 |
|---|---|
| Provider Enumeration Date | 07/15/2020 |
| Last Update Date | 07/15/2020 |
| Certification Date | 07/15/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912515958 | NPI | - | NPPES |
| LCPC | Other | MD | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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