| Therapeutic Consult Services | |
|
23 E Patrick St Frederick MD 21701-6157 | |
| (240) 476-4041 | |
| Not Available |
| Full Name | Therapeutic Consult Services |
|---|---|
| Speciality | Counselor |
| Location | 23 E Patrick St, Frederick, Maryland |
| Authorized Official Name and Position | Laurie M Sherman (OWNER) |
| Authorized Official Contact | 2404764041 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapeutic Consult Services 23 E Patrick St Frederick MD 21701-6157 Ph: (240) 476-4041 | Therapeutic Consult Services 23 E Patrick St Frederick MD 21701-6157 Ph: (240) 476-4041 |
| NPI Number | 1215595111 |
|---|---|
| Provider Enumeration Date | 06/05/2019 |
| Last Update Date | 06/05/2019 |
| Medicare PECOS PAC ID | 9335471390 |
|---|---|
| Medicare Enrollment ID | O20191024002646 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215595111 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| Provider Name | Laurie M Sherman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073799318 PECOS PAC ID: 9032414362 Enrollment ID: I20191025000067 |
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