Therapeutic Friends, Llc | |
10628 Park Heights Ave Owings Mills MD 21117-4310 | |
(443) 801-3472 | |
Not Available |
Full Name | Therapeutic Friends, Llc |
---|---|
Speciality | Counselor |
Location | 10628 Park Heights Ave, Owings Mills, Maryland |
Authorized Official Name and Position | Harlan Keith Zinn (OWNER) |
Authorized Official Contact | 7243743631 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Therapeutic Friends, Llc 10628 Park Heights Ave Owings Mills MD 21117-4310 Ph: (443) 801-3472 | Therapeutic Friends, Llc 10628 Park Heights Ave Owings Mills MD 21117-4310 Ph: (443) 801-3472 |
NPI Number | 1598516742 |
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Provider Enumeration Date | 03/27/2024 |
Last Update Date | 04/12/2024 |
Certification Date | 04/12/2024 |
Medicare PECOS PAC ID | 9537508429 |
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Medicare Enrollment ID | O20240411001271 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598516742 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Provider Name | Harlan K Zinn |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1194866673 PECOS PAC ID: 1456790138 Enrollment ID: I20240415000399 |
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