| Intact Counseling Service, Llc | |
|
10515 Theodore Green Blvd Suite 214 White Plains MD 20695-3042 | |
| (301) 885-9760 | |
| (301) 753-1919 |
| Full Name | Intact Counseling Service, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 10515 Theodore Green Blvd, White Plains, Maryland |
| Authorized Official Name and Position | Marilyn Evans (FOUNDER, CEO) |
| Authorized Official Contact | 3018859760 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Intact Counseling Service, Llc 10515 Theodore Green Blvd Suite 214 White Plains MD 20695-3042 Ph: () - | Intact Counseling Service, Llc 10515 Theodore Green Blvd Suite 214 White Plains MD 20695-3042 Ph: (301) 885-9760 |
| NPI Number | 1386968600 |
|---|---|
| Provider Enumeration Date | 03/15/2010 |
| Last Update Date | 09/09/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386968600 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LC3432 (Maryland) | Primary |
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