| Innovation Counseling Services Llc | |
|
8400 Snowden Loop Laurel MD 20708-2358 | |
| (240) 838-2245 | |
| Not Available |
| Full Name | Innovation Counseling Services Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 8400 Snowden Loop, Laurel, Maryland |
| Authorized Official Name and Position | Adedayo Adeala (OWNER) |
| Authorized Official Contact | 2409171380 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovation Counseling Services Llc 8400 Snowden Loop Laurel MD 20708-2358 Ph: (240) 838-2245 | Innovation Counseling Services Llc 8400 Snowden Loop Laurel MD 20708-2358 Ph: (240) 838-2245 |
| NPI Number | 1306583349 |
|---|---|
| Provider Enumeration Date | 05/19/2022 |
| Last Update Date | 05/19/2022 |
| Certification Date | 05/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306583349 | NPI | - | NPPES |
| 1003258971 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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