| Melissa D. Marshall, Llc. | |
|
55 Main Street Reisterstown MD 21136 | |
| (443) 904-2142 | |
| Not Available |
| Full Name | Melissa D. Marshall, Llc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 55 Main Street, Reisterstown, Maryland |
| Authorized Official Name and Position | Melissa Marshall (OWNER) |
| Authorized Official Contact | 4439042142 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa D. Marshall, Llc. 5713 Narcissus Ave Baltimore MD 21215-3551 Ph: (443) 904-2142 | Melissa D. Marshall, Llc. 55 Main Street Reisterstown MD 21136 Ph: (443) 904-2142 |
| NPI Number | 1386229276 |
|---|---|
| Provider Enumeration Date | 03/12/2021 |
| Last Update Date | 03/12/2021 |
| Certification Date | 02/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386229276 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
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