| Away Of Change Counseling Service | |
|
6609 Reisterstown Rd Ste 206 Baltimore MD 21215-2315 | |
| (443) 405-3193 | |
| (443) 272-7572 |
| Full Name | Away Of Change Counseling Service |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 6609 Reisterstown Rd Ste 206, Baltimore, Maryland |
| Authorized Official Name and Position | Doris Allen (CEO & FOUNDER) |
| Authorized Official Contact | 4434053193 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Away Of Change Counseling Service 5310 Old Court Rd Ste 105 Randallstown MD 21133-5281 Ph: (443) 405-3193 | Away Of Change Counseling Service 6609 Reisterstown Rd Ste 206 Baltimore MD 21215-2315 Ph: (443) 405-3193 |
| NPI Number | 1003429739 |
|---|---|
| Provider Enumeration Date | 08/24/2020 |
| Last Update Date | 03/18/2021 |
| Certification Date | 02/16/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003429739 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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