| Foundations Counseling Center Llc | |
|
1425 Liberty Rd Ste 206 Eldersburg MD 21784-6971 | |
| (410) 995-8780 | |
| (410) 995-8784 |
| Full Name | Foundations Counseling Center Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1425 Liberty Rd Ste 206, Eldersburg, Maryland |
| Authorized Official Name and Position | Deborah Lynn Devincent (PSYCHOTHERAPIST) |
| Authorized Official Contact | 4109958780 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Foundations Counseling Center Llc 5614 Compton Ln Eldersburg MD 21784-8868 Ph: (410) 995-8780 | Foundations Counseling Center Llc 1425 Liberty Rd Ste 206 Eldersburg MD 21784-6971 Ph: (410) 995-8780 |
| NPI Number | 1861907891 |
|---|---|
| Provider Enumeration Date | 12/13/2017 |
| Last Update Date | 12/13/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861907891 | NPI | - | NPPES |
| 889341 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LC6876 (Maryland) | Primary |
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