| Offsite Counseling Llc | |
|
2901 Druid Park Dr A210 Baltimore MD 21215-8102 | |
| (410) 467-6600 | |
| (410) 225-9110 |
| Full Name | Offsite Counseling Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2901 Druid Park Dr, Baltimore, Maryland |
| Authorized Official Name and Position | Cedric Lemar Tucker (PRESIDENT) |
| Authorized Official Contact | 4104676600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Offsite Counseling Llc 2901 Druid Park Dr A210 Baltimore MD 21215-8102 Ph: (410) 467-6600 | Offsite Counseling Llc 2901 Druid Park Dr A210 Baltimore MD 21215-8102 Ph: (410) 467-6600 |
| NPI Number | 1841636107 |
|---|---|
| Provider Enumeration Date | 05/14/2013 |
| Last Update Date | 05/14/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841636107 | NPI | - | NPPES |
| 044509600 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LC4081 (Maryland) | Primary |
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