| Prodigy Counseling Services | |
|
17 Warren Rd Pikesville MD 21208-5334 | |
| (443) 577-8959 | |
| Not Available |
| Full Name | Prodigy Counseling Services |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 17 Warren Rd, Pikesville, Maryland |
| Authorized Official Name and Position | Asia Ray (MENTAL HEALTH THERAPIST) |
| Authorized Official Contact | 4435778959 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prodigy Counseling Services 8718 Gilly Way Randallstown MD 21133-5310 Ph: (443) 577-8959 | Prodigy Counseling Services 17 Warren Rd Pikesville MD 21208-5334 Ph: (443) 577-8959 |
| NPI Number | 1336611912 |
|---|---|
| Provider Enumeration Date | 12/20/2018 |
| Last Update Date | 12/20/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336611912 | NPI | - | NPPES |
| 262005700 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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