| Chesapeake Mental Health Collaborative | |
|
1010 Dulaney Valley Rd Towson MD 21204-2702 | |
| (410) 567-1117 | |
| Not Available |
| Full Name | Chesapeake Mental Health Collaborative |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1010 Dulaney Valley Rd, Towson, Maryland |
| Authorized Official Name and Position | Heidi Schreiber-pan (CLINICAL DIRECTOR) |
| Authorized Official Contact | 4436952834 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chesapeake Mental Health Collaborative 4101 Kincaid Rd Baldwin MD 21013-9609 Ph: (443) 695-2834 | Chesapeake Mental Health Collaborative 1010 Dulaney Valley Rd Towson MD 21204-2702 Ph: (410) 567-1117 |
| NPI Number | 1043748668 |
|---|---|
| Provider Enumeration Date | 05/25/2017 |
| Last Update Date | 04/16/2021 |
| Certification Date | 04/16/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043748668 | NPI | - | NPPES |
| 896691 | Medicaid | MD | |
| BX90-0000 | Other | MD | CAREFIRST BLUECROSS BLUESHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LC5639 (Maryland) | Primary |
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