| Carroll County Tbs 1:1 | |
|
1129 Business Pkwy S Ste A Westminster MD 21157-3004 | |
| (667) 600-2850 | |
| Not Available |
| Full Name | Carroll County Tbs 1:1 |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1129 Business Pkwy S Ste A, Westminster, Maryland |
| Authorized Official Name and Position | Gloria Oversmith (ACCOUNTS RECEIVABLE AND BILLNG MGR) |
| Authorized Official Contact | 6676002249 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carroll County Tbs 1:1 2300 Dulaney Valley Rd Timonium MD 21093-2739 Ph: (667) 600-2249 | Carroll County Tbs 1:1 1129 Business Pkwy S Ste A Westminster MD 21157-3004 Ph: (667) 600-2850 |
| NPI Number | 1104188986 |
|---|---|
| Provider Enumeration Date | 06/08/2012 |
| Last Update Date | 01/03/2020 |
| Certification Date | 01/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104188986 | NPI | - | NPPES |
| 421123500 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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