| Universal Counseling Llc | |
|
214 2nd Ave Sw Glen Burnie MD 21061-3465 | |
| (443) 710-2324 | |
| Not Available |
| Full Name | Universal Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 214 2nd Ave Sw, Glen Burnie, Maryland |
| Authorized Official Name and Position | Jodi L Dively (PSYCHOTHERAPIST/ OWNER) |
| Authorized Official Contact | 4437102324 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Universal Counseling Llc 214 2nd Ave Sw Glen Burnie MD 21061-3465 Ph: (443) 710-2324 | Universal Counseling Llc 214 2nd Ave Sw Glen Burnie MD 21061-3465 Ph: (443) 710-2324 |
| NPI Number | 1992418800 |
|---|---|
| Provider Enumeration Date | 01/05/2023 |
| Last Update Date | 01/05/2023 |
| Certification Date | 01/05/2023 |
| Medicare PECOS PAC ID | 8729434741 |
|---|---|
| Medicare Enrollment ID | O20240503000266 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992418800 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jodi L Dively |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255461125 PECOS PAC ID: 1153630546 Enrollment ID: I20170505000773 |
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