| C&c Advocacy And Health Services, Inc. | |
|
3655 Old Court Rd Ste 12 Pikesville MD 21208-3905 | |
| (443) 929-1928 | |
| Not Available |
| Full Name | C&c Advocacy And Health Services, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 3655 Old Court Rd Ste 12, Pikesville, Maryland |
| Authorized Official Name and Position | Cathlyn Clarke (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4439291928 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| C&c Advocacy And Health Services, Inc. 3655 Old Court Rd Ste 12 Pikesville MD 21208-3905 Ph: (443) 929-1928 | C&c Advocacy And Health Services, Inc. 3655 Old Court Rd Ste 12 Pikesville MD 21208-3905 Ph: (443) 929-1928 |
| NPI Number | 1972191518 |
|---|---|
| Provider Enumeration Date | 01/08/2021 |
| Last Update Date | 03/21/2022 |
| Certification Date | 03/21/2022 |
| Medicare PECOS PAC ID | 4981082187 |
|---|---|
| Medicare Enrollment ID | O20221206001834 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972191518 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Marshall A James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992308696 PECOS PAC ID: 0143637017 Enrollment ID: I20210322002265 |
| Provider Name | Taylor C Hoy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124646153 PECOS PAC ID: 6608254800 Enrollment ID: I20220531001504 |
| Provider Name | Cherise Lakia Fowlkes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982396727 PECOS PAC ID: 2860846151 Enrollment ID: I20230920001362 |
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