| Suburban Pastoral Counseling Clinic, Inc. | |
|
1 N Beechwood Ave Catonsville MD 21228-4926 | |
| (410) 775-8233 | |
| Not Available |
| Full Name | Suburban Pastoral Counseling Clinic, Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1 N Beechwood Ave, Catonsville, Maryland |
| Authorized Official Name and Position | Tyler James Howard (CLINICAL DIRECTOR) |
| Authorized Official Contact | 9794509375 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Suburban Pastoral Counseling Clinic, Inc. Po Box 3274 Catonsville MD 21228-0274 Ph: (410) 775-8233 | Suburban Pastoral Counseling Clinic, Inc. 1 N Beechwood Ave Catonsville MD 21228-4926 Ph: (410) 775-8233 |
| NPI Number | 1588654701 |
|---|---|
| Provider Enumeration Date | 10/27/2005 |
| Last Update Date | 04/05/2024 |
| Certification Date | 04/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588654701 | NPI | - | NPPES |
| QR62SU | Other | MD | CAREFIRST MD |
| R039 | Other | MD | CAREFIRST FEDERAL |
| 104796500 | Medicaid | MD |
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