| Family Light Counseling And Psychiatry | |
|
1702 Taylor Ave Ste D Parkville MD 21234-6153 | |
| (443) 525-7199 | |
| Not Available |
| Full Name | Family Light Counseling And Psychiatry |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1702 Taylor Ave Ste D, Parkville, Maryland |
| Authorized Official Name and Position | Stanley Karanja (CEO) |
| Authorized Official Contact | 4435257199 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Light Counseling And Psychiatry 1702 Taylor Ave Ste D Parkville MD 21234-6153 Ph: () - | Family Light Counseling And Psychiatry 1702 Taylor Ave Ste D Parkville MD 21234-6153 Ph: (443) 525-7199 |
| NPI Number | 1700505286 |
|---|---|
| Provider Enumeration Date | 08/26/2022 |
| Last Update Date | 08/03/2023 |
| Certification Date | 08/03/2023 |
| Medicare PECOS PAC ID | 3779946728 |
|---|---|
| Medicare Enrollment ID | O20240521002536 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700505286 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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