| Gardenwood Counseling Center Llc | |
|
704 Greenwood Rd Pikesville MD 21208-4704 | |
| (410) 645-0677 | |
| Not Available |
| Full Name | Gardenwood Counseling Center Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 704 Greenwood Rd, Pikesville, Maryland |
| Authorized Official Name and Position | Melissa Watson-clark (OWNER/THERAPIST) |
| Authorized Official Contact | 4106450677 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gardenwood Counseling Center Llc 704 Greenwood Rd Pikesville MD 21208-4704 Ph: (410) 645-0677 | Gardenwood Counseling Center Llc 704 Greenwood Rd Pikesville MD 21208-4704 Ph: (410) 645-0677 |
| NPI Number | 1962984724 |
|---|---|
| Provider Enumeration Date | 08/29/2018 |
| Last Update Date | 10/10/2018 |
| Medicare PECOS PAC ID | 9335491455 |
|---|---|
| Medicare Enrollment ID | O20181017002292 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962984724 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Melissa Watson Clark |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306080718 PECOS PAC ID: 1153673272 Enrollment ID: I20181017002379 |
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