| Edward L. Mislak, Llc | |
|
801 Chance Ct Street MD 21154-1648 | |
| (410) 893-7217 | |
| (410) 893-7217 |
| Full Name | Edward L. Mislak, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 801 Chance Ct, Street, Maryland |
| Authorized Official Name and Position | Edward Leo Mislak (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 4108937217 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edward L. Mislak, Llc 801 Chance Ct Street MD 21154-1648 Ph: (410) 893-7217 | Edward L. Mislak, Llc 801 Chance Ct Street MD 21154-1648 Ph: (410) 893-7217 |
| NPI Number | 1154667988 |
|---|---|
| Provider Enumeration Date | 12/26/2012 |
| Last Update Date | 12/27/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154667988 | NPI | - | NPPES |
| 031101400 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 08156 (Maryland) | Primary |
Harford County Counseling Services, Llc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 Chance Ct, Street, MD 21154 Phone: 410-893-7217 | |
Anthem Behavioral Health, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 203 Holy Cross Rd, Street, MD 21154 Phone: 410-459-7699 |