| Epoch Counseling Center | |
|
3902 Annapolis Rd Lansdowne MD 21227-2210 | |
| (410) 789-2647 | |
| (410) 789-8364 |
| Full Name | Epoch Counseling Center |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 3902 Annapolis Rd, Lansdowne, Maryland |
| Authorized Official Name and Position | Susan Ann Tangires (DIRECTOR) |
| Authorized Official Contact | 4107892647 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Epoch Counseling Center 1040 Park Ave Suite 103 Baltimore MD 21201-5633 Ph: (410) 837-3977 | Epoch Counseling Center 3902 Annapolis Rd Lansdowne MD 21227-2210 Ph: (410) 789-2647 |
| NPI Number | 1538227202 |
|---|---|
| Provider Enumeration Date | 12/05/2006 |
| Last Update Date | 07/17/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538227202 | NPI | - | NPPES |
| 114351 | Medicaid | MD | |
| 56435 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |