| Remedy Counseling, Llc | |
|
819 Ritchie Hwy Ste 1020 Severna Park MD 21146-4193 | |
| (410) 431-5111 | |
| (410) 431-5112 |
| Full Name | Remedy Counseling, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 819 Ritchie Hwy Ste 1020, Severna Park, Maryland |
| Authorized Official Name and Position | Brandy Tina Mobin (OWNER 10090) |
| Authorized Official Contact | 4104315111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Remedy Counseling, Llc 819 Ritchie Hwy Ste 1020 Severna Park MD 21146-4193 Ph: (410) 431-5111 | Remedy Counseling, Llc 819 Ritchie Hwy Ste 1020 Severna Park MD 21146-4193 Ph: (410) 431-5111 |
| NPI Number | 1568736007 |
|---|---|
| Provider Enumeration Date | 03/01/2012 |
| Last Update Date | 12/06/2018 |
| Medicare PECOS PAC ID | 1850661398 |
|---|---|
| Medicare Enrollment ID | O20170717002004 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568736007 | NPI | - | NPPES |
| 336638300 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 10668 (Maryland) | Primary |
| Provider Name | Brandy Tina Kolenbrander |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881789774 PECOS PAC ID: 2769752203 Enrollment ID: I20170718000021 |
| Provider Name | Susan Watson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255097499 PECOS PAC ID: 7517301518 Enrollment ID: I20240219000196 |
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