| Bay Region Counseling Llc | |
|
8000 Jumpers Hole Rd Ste 200 Pasadena MD 21122-1046 | |
| (240) 281-8482 | |
| Not Available |
| Full Name | Bay Region Counseling Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 8000 Jumpers Hole Rd Ste 200, Pasadena, Maryland |
| Authorized Official Name and Position | Denise E Moreland (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4107773031 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bay Region Counseling Llc 8449 Bay Dr Pasadena MD 21122-2937 Ph: (410) 777-3031 | Bay Region Counseling Llc 8000 Jumpers Hole Rd Ste 200 Pasadena MD 21122-1046 Ph: (240) 281-8482 |
| NPI Number | 1437765807 |
|---|---|
| Provider Enumeration Date | 09/21/2020 |
| Last Update Date | 09/21/2020 |
| Certification Date | 09/20/2020 |
| Medicare PECOS PAC ID | 2860839164 |
|---|---|
| Medicare Enrollment ID | O20240322000266 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437765807 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Denise Elaine Moreland |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033617204 PECOS PAC ID: 8224475538 Enrollment ID: I20240322000411 |
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