| Restore You Counseling And Consultation, Llc | |
|
100 Kane St Baltimore MD 21224-1726 | |
| (410) 564-6893 | |
| Not Available |
| Full Name | Restore You Counseling And Consultation, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 100 Kane St, Baltimore, Maryland |
| Authorized Official Name and Position | Channing Clark (CEO, OWNER) |
| Authorized Official Contact | 3012549608 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Restore You Counseling And Consultation, Llc 4812 Circling Hunter Dr Apt 202 Columbia MD 21045-5508 Ph: () - | Restore You Counseling And Consultation, Llc 100 Kane St Baltimore MD 21224-1726 Ph: (410) 564-6893 |
| NPI Number | 1982260485 |
|---|---|
| Provider Enumeration Date | 05/10/2019 |
| Last Update Date | 06/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982260485 | NPI | - | NPPES |
| 2011131 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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