| Bright Star Counseling And Consulting, Llc | |
|
200 E Joppa Rd Ste 402 Towson MD 21286-3109 | |
| (443) 862-2646 | |
| Not Available |
| Full Name | Bright Star Counseling And Consulting, Llc |
|---|---|
| Speciality | Counselor |
| Location | 200 E Joppa Rd Ste 402, Towson, Maryland |
| Authorized Official Name and Position | Thomas Raymond Lishman (OWNER) |
| Authorized Official Contact | 4438622646 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bright Star Counseling And Consulting, Llc 200 E Joppa Rd Ste 402 Towson MD 21286-3109 Ph: (443) 862-2646 | Bright Star Counseling And Consulting, Llc 200 E Joppa Rd Ste 402 Towson MD 21286-3109 Ph: (443) 862-2646 |
| NPI Number | 1013537273 |
|---|---|
| Provider Enumeration Date | 04/17/2020 |
| Last Update Date | 04/17/2020 |
| Certification Date | 04/17/2020 |
| Medicare PECOS PAC ID | 0143671958 |
|---|---|
| Medicare Enrollment ID | O20240105002195 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013537273 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Thomas Lishman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568406577 PECOS PAC ID: 1052762861 Enrollment ID: I20240105002422 |
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