| Trico Clinical Services, Ltd | |
|
46940 S. Shangri La Drive Lexington Park MD 20653 | |
| (301) 862-4961 | |
| (301) 862-5554 |
| Full Name | Trico Clinical Services, Ltd |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 46940 S. Shangri La Drive, Lexington Park, Maryland |
| Authorized Official Name and Position | William E Arick (PRESIDENT TRICO CLINICAL SERVICES L) |
| Authorized Official Contact | 3018624961 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trico Clinical Services, Ltd P.o. Box 826 Lexington Park MD 20653 Ph: (301) 862-4961 | Trico Clinical Services, Ltd 46940 S. Shangri La Drive Lexington Park MD 20653 Ph: (301) 862-4961 |
| NPI Number | 1548440555 |
|---|---|
| Provider Enumeration Date | 11/07/2007 |
| Last Update Date | 06/29/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548440555 | NPI | - | NPPES |
| 413488500 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (Maryland) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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