| Mood Therapeutic Services | |
|
10440 Little Patuxent Pkwy Ste 300 Columbia MD 21044-3648 | |
| (443) 232-9477 | |
| Not Available |
| Full Name | Mood Therapeutic Services |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 10440 Little Patuxent Pkwy Ste 300, Columbia, Maryland |
| Authorized Official Name and Position | Janae M Winder (LCPC) |
| Authorized Official Contact | 4436146505 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mood Therapeutic Services 10440 Little Patuxent Pkwy Ste 300 Columbia MD 21044-3648 Ph: (443) 614-6505 | Mood Therapeutic Services 10440 Little Patuxent Pkwy Ste 300 Columbia MD 21044-3648 Ph: (443) 232-9477 |
| NPI Number | 1154993020 |
|---|---|
| Provider Enumeration Date | 07/12/2021 |
| Last Update Date | 07/12/2021 |
| Certification Date | 07/12/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154993020 | NPI | - | NPPES |
| 1104307438 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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