| Lfw Cccc | |
|
21 West Rd 150 Towson MD 21204-2325 | |
| (410) 989-3558 | |
| Not Available |
| Full Name | Lfw Cccc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 21 West Rd, Towson, Maryland |
| Authorized Official Name and Position | La Toya Bianca Smith (FOUNDER/CEO; LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 4109893558 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lfw Cccc 21 West Rd 150 Towson MD 21204-2325 Ph: (410) 989-3558 | Lfw Cccc 21 West Rd 150 Towson MD 21204-2325 Ph: (410) 989-3558 |
| NPI Number | 1194263467 |
|---|---|
| Provider Enumeration Date | 02/07/2017 |
| Last Update Date | 02/07/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194263467 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 05744 (Maryland) | Primary |
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