| Mlc Counseling And Holistic Wellness, Llc | |
|
123 Greenridge Rd Lutherville Timonium MD 21093-6124 | |
| (443) 617-2911 | |
| Not Available |
| Full Name | Mlc Counseling And Holistic Wellness, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 123 Greenridge Rd, Lutherville Timonium, Maryland |
| Authorized Official Name and Position | Maija Castro (MENTAL HEALTH THERAPIST) |
| Authorized Official Contact | 4436172911 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mlc Counseling And Holistic Wellness, Llc 123 Greenridge Rd Lutherville Timonium MD 21093-6124 Ph: (443) 617-2911 | Mlc Counseling And Holistic Wellness, Llc 123 Greenridge Rd Lutherville Timonium MD 21093-6124 Ph: (443) 617-2911 |
| NPI Number | 1780415158 |
|---|---|
| Provider Enumeration Date | 08/08/2024 |
| Last Update Date | 08/08/2024 |
| Certification Date | 08/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780415158 | NPI | - | NPPES |
| 1831851583 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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