| Columbia Mental Health Resources, Inc. | |
|
10632 Little Patuxent Pkwy Suite 311 Columbia MD 21044-3273 | |
| (410) 730-6950 | |
| (410) 730-1411 |
| Full Name | Columbia Mental Health Resources, Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 10632 Little Patuxent Pkwy, Columbia, Maryland |
| Authorized Official Name and Position | Janice Stevenson (OWNER/DIRECTOR) |
| Authorized Official Contact | 4107306950 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Columbia Mental Health Resources, Inc. 10632 Little Patuxent Pkwy Suite 311 Columbia MD 21044-3273 Ph: (410) 730-6950 | Columbia Mental Health Resources, Inc. 10632 Little Patuxent Pkwy Suite 311 Columbia MD 21044-3273 Ph: (410) 730-6950 |
| NPI Number | 1275712028 |
|---|---|
| Provider Enumeration Date | 10/29/2007 |
| Last Update Date | 11/05/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275712028 | NPI | - | NPPES |
| 124408600 | Medicaid | MD | |
| W509 AND KEO7CO | Other | MD | CAREFIRST BLUECROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 02058 (Maryland) | Primary |
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