| Carroll Counseling Center, Llc | |
|
1380 Progress Way Suite 101 Eldersburg MD 21784-6464 | |
| (410) 549-5181 | |
| (410) 549-5182 |
| Full Name | Carroll Counseling Center, Llc |
|---|---|
| Speciality | Psychologist - Prescribing (medical) |
| Location | 1380 Progress Way, Eldersburg, Maryland |
| Authorized Official Name and Position | Elisabeth Pesce (SECRETARY) |
| Authorized Official Contact | 9046054986 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carroll Counseling Center, Llc 1380 Progress Way Suite 101 Eldersburg MD 21784-6464 Ph: (410) 549-5181 | Carroll Counseling Center, Llc 1380 Progress Way Suite 101 Eldersburg MD 21784-6464 Ph: (410) 549-5181 |
| NPI Number | 1518117761 |
|---|---|
| Provider Enumeration Date | 09/24/2008 |
| Last Update Date | 12/22/2022 |
| Certification Date | 12/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518117761 | NPI | - | NPPES |
| 836102900 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP0016X | Psychologist - Prescribing (medical) | (* (Not Available)) | Primary |
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