| Transforming Lives Counseling Services, Llc | |
|
1900 E Northern Pkwy Ste T5 Baltimore MD 21239-2120 | |
| (410) 645-1000 | |
| (672) 051-3826 |
| Full Name | Transforming Lives Counseling Services, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1900 E Northern Pkwy Ste T5, Baltimore, Maryland |
| Authorized Official Name and Position | Melissa Annette Powell (THERAPIST) |
| Authorized Official Contact | 4106451000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Transforming Lives Counseling Services, Llc 1900 E Northern Pkwy Ste T5 Baltimore MD 21239-2120 Ph: (410) 645-1000 | Transforming Lives Counseling Services, Llc 1900 E Northern Pkwy Ste T5 Baltimore MD 21239-2120 Ph: (410) 645-1000 |
| NPI Number | 1992230338 |
|---|---|
| Provider Enumeration Date | 04/24/2017 |
| Last Update Date | 07/15/2020 |
| Certification Date | 07/15/2020 |
| Medicare PECOS PAC ID | 0446524508 |
|---|---|
| Medicare Enrollment ID | O20170928000750 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992230338 | NPI | - | NPPES |
| 600938112 | Other | MD | MAGELLAN |
| 510527700 | Medicaid | MD | |
| R505-0162 | Other | MD | CHOICE |
| 2311946 | Other | MD | COMPYSCH |
| 284769 | Other | MD | USFHP |
| Provider Name | Melissa A Powell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578873733 PECOS PAC ID: 0244456655 Enrollment ID: I20140721001617 |
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