| 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 | Counselor - Addiction (substance Use Disorder) |
| Location | 6609 Reisterstown Rd Ste 206, Baltimore, Maryland |
| Authorized Official Name and Position | Doris Allen (FOUNDER AND CEO) |
| 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 304 Randallstown MD 21133-6202 Ph: (443) 405-3193 | Away Of Change Counseling Service 6609 Reisterstown Rd Ste 206 Baltimore MD 21215-2315 Ph: (443) 405-3193 |
| NPI Number | 1932693611 |
|---|---|
| Provider Enumeration Date | 06/18/2018 |
| Last Update Date | 03/18/2021 |
| Certification Date | 02/16/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932693611 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LCA2042 (Maryland) | Primary |
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