| Stride Forward Counseling Llc | |
|
9 Newburg Ave Ste 102 Catonsville MD 21228-5157 | |
| (916) 572-1225 | |
| Not Available |
| Full Name | Stride Forward Counseling Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 9 Newburg Ave Ste 102, Catonsville, Maryland |
| Authorized Official Name and Position | Rachel Nicole Collins (CLINICAL THERAPIST) |
| Authorized Official Contact | 4438518214 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stride Forward Counseling Llc 3506 Lower Mill Ct Ellicotty City MD 21043-4140 Ph: (443) 851-8214 | Stride Forward Counseling Llc 9 Newburg Ave Ste 102 Catonsville MD 21228-5157 Ph: (916) 572-1225 |
| NPI Number | 1881209815 |
|---|---|
| Provider Enumeration Date | 09/15/2020 |
| Last Update Date | 10/29/2020 |
| Certification Date | 10/29/2020 |
| Medicare PECOS PAC ID | 9537528328 |
|---|---|
| Medicare Enrollment ID | O20230712000111 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881209815 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
| Provider Name | Ashley M Chookazian |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891321584 PECOS PAC ID: 2860821279 Enrollment ID: I20200407000579 |
| Provider Name | Joshua Bombino |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609399930 PECOS PAC ID: 1557720349 Enrollment ID: I20230712000094 |
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