| South Mountain Counseling Services, Llc | |
|
16 Walnut St Middletown MD 21769-8019 | |
| (301) 371-3707 | |
| (301) 371-3706 |
| Full Name | South Mountain Counseling Services, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 16 Walnut St, Middletown, Maryland |
| Authorized Official Name and Position | Eva Regina Lucht (MEMBER) |
| Authorized Official Contact | 3013713707 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Mountain Counseling Services, Llc 16 Walnut St Middletown MD 21769-8019 Ph: (301) 371-3707 | South Mountain Counseling Services, Llc 16 Walnut St Middletown MD 21769-8019 Ph: (301) 371-3707 |
| NPI Number | 1710910377 |
|---|---|
| Provider Enumeration Date | 07/08/2006 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710910377 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LC1750 (Maryland) | Primary |
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