Teal Fire Counseling & Consulting, Llc | |
10632 Little Patuxent Pkwy Ste 343 Columbia MD 21044-6239 | |
(410) 707-8527 | |
(410) 997-7878 |
Full Name | Teal Fire Counseling & Consulting, Llc |
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Speciality | Community/behavioral Health |
Location | 10632 Little Patuxent Pkwy Ste 343, Columbia, Maryland |
Authorized Official Name and Position | Lillian M Sylvester (OWNER) |
Authorized Official Contact | 4107078527 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Teal Fire Counseling & Consulting, Llc P.o. Box 6641 Columbia MD 21045 Ph: (410) 707-8527 | Teal Fire Counseling & Consulting, Llc 10632 Little Patuxent Pkwy Ste 343 Columbia MD 21044-6239 Ph: (410) 707-8527 |
NPI Number | 1114414125 |
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Provider Enumeration Date | 04/16/2018 |
Last Update Date | 04/16/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114414125 | NPI | - | NPPES |
038381300 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | LC3728 (Maryland) | Primary |
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