| Family Support Therapy Center | |
|
1921 Lansdowne Rd Baltimore MD 21227-1707 | |
| (410) 616-6200 | |
| (410) 558-6254 |
| Full Name | Family Support Therapy Center |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1921 Lansdowne Rd, Baltimore, Maryland |
| Authorized Official Name and Position | Bonnie Greenberg (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 4106166200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Support Therapy Center 1921 Lansdowne Rd Baltimore MD 21227-1707 Ph: (410) 616-6200 | Family Support Therapy Center 1921 Lansdowne Rd Baltimore MD 21227-1707 Ph: (410) 616-6200 |
| NPI Number | 1811763865 |
|---|---|
| Provider Enumeration Date | 11/30/2023 |
| Last Update Date | 01/29/2024 |
| Certification Date | 12/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811763865 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Secondary |
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