Tree Of Life Counseling, Llc | |
300 Reisterstown Rd Suite 101 Pikesville MD 21208-5330 | |
(410) 358-1111 | |
(443) 261-0850 |
Full Name | Tree Of Life Counseling, Llc |
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Speciality | Social Worker |
Location | 300 Reisterstown Rd, Pikesville, Maryland |
Authorized Official Name and Position | David Michael Toplin (DIRECTOR) |
Authorized Official Contact | 4103581111 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Tree Of Life Counseling, Llc 300 Reisterstown Rd Suite 101 Pikesville MD 21208-5330 Ph: (410) 358-1111 | Tree Of Life Counseling, Llc 300 Reisterstown Rd Suite 101 Pikesville MD 21208-5330 Ph: (410) 358-1111 |
NPI Number | 1316288848 |
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Provider Enumeration Date | 03/07/2013 |
Last Update Date | 11/28/2018 |
Medicare PECOS PAC ID | 2668717505 |
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Medicare Enrollment ID | O20181220001267 |
Identifier | Type | State | Issuer |
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1316288848 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | 16674 (Maryland) | Primary |
Provider Name | Jeffrey S Primak |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1184872277 PECOS PAC ID: 3476737008 Enrollment ID: I20110406000451 |
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