| Purple Lantern Therapy, Llc | |
|
1009 Frederick Rd Catonsville MD 21228-5055 | |
| (443) 986-9628 | |
| Not Available |
| Full Name | Purple Lantern Therapy, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1009 Frederick Rd, Catonsville, Maryland |
| Authorized Official Name and Position | Melissa Brown (PSYCHOTHERAPIST) |
| Authorized Official Contact | 4439869628 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Purple Lantern Therapy, Llc 6400 Baltimore National Pike Ste 170a-206 Catonsville MD 21228-3930 Ph: (443) 986-9628 | Purple Lantern Therapy, Llc 1009 Frederick Rd Catonsville MD 21228-5055 Ph: (443) 986-9628 |
| NPI Number | 1609547082 |
|---|---|
| Provider Enumeration Date | 09/24/2021 |
| Last Update Date | 09/24/2021 |
| Certification Date | 09/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609547082 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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