| Mclean's Couch Therapeutic Services | |
|
4103b Holbrook Rd Randallstown MD 21133-1116 | |
| (443) 983-8436 | |
| Not Available |
| Full Name | Mclean's Couch Therapeutic Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 4103b Holbrook Rd, Randallstown, Maryland |
| Authorized Official Name and Position | Nakitta Mclean (COO) |
| Authorized Official Contact | 4439838436 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mclean's Couch Therapeutic Services 4103b Holbrook Rd Randallstown MD 21133-1116 Ph: (443) 983-8436 | Mclean's Couch Therapeutic Services 4103b Holbrook Rd Randallstown MD 21133-1116 Ph: (443) 983-8436 |
| NPI Number | 1114523966 |
|---|---|
| Provider Enumeration Date | 12/08/2020 |
| Last Update Date | 12/08/2020 |
| Certification Date | 12/08/2020 |
| Medicare PECOS PAC ID | 8224425152 |
|---|---|
| Medicare Enrollment ID | O20220425000775 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114523966 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Britney Buckson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821698853 PECOS PAC ID: 3072900117 Enrollment ID: I20220420001381 |
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