| Ideal Progress | |
|
8428 Harris Ave Parkville MD 21234 | |
| (443) 371-3801 | |
| Not Available |
| Full Name | Ideal Progress |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 8428 Harris Ave, Parkville, Maryland |
| Authorized Official Name and Position | Jacqueline Tyrrell (CEO) |
| Authorized Official Contact | 4433713801 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ideal Progress 381 Bay Club Pkwy North East MD 21901-4727 Ph: () - | Ideal Progress 8428 Harris Ave Parkville MD 21234 Ph: (443) 371-3801 |
| NPI Number | 1134812902 |
|---|---|
| Provider Enumeration Date | 05/30/2023 |
| Last Update Date | 05/30/2023 |
| Certification Date | 05/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134812902 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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