| Mrt Counseling & Wellness Center, Llc. | |
|
6600 York Rd Suite 109a Baltimore MD 21212-2028 | |
| (410) 689-8757 | |
| Not Available |
| Full Name | Mrt Counseling & Wellness Center, Llc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 6600 York Rd, Baltimore, Maryland |
| Authorized Official Name and Position | Marlon R Tinker (OWNER/PROVIDER) |
| Authorized Official Contact | 4106898757 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mrt Counseling & Wellness Center, Llc. 6600 York Rd Suite 109a Baltimore MD 21212-2028 Ph: (410) 689-8757 | Mrt Counseling & Wellness Center, Llc. 6600 York Rd Suite 109a Baltimore MD 21212-2028 Ph: (410) 689-8757 |
| NPI Number | 1366824377 |
|---|---|
| Provider Enumeration Date | 06/25/2015 |
| Last Update Date | 08/14/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366824377 | NPI | - | NPPES |
| 324303600 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | AC1591 (Maryland) | Secondary |
| 1041C0700X | Social Worker - Clinical | 13822 (Maryland) | Primary |
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