| Urban Trauma Counseling, Llc | |
|
715 Ingleside Ave Catonsville MD 21228-1726 | |
| (410) 960-2496 | |
| Not Available |
| Full Name | Urban Trauma Counseling, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 715 Ingleside Ave, Catonsville, Maryland |
| Authorized Official Name and Position | Shinelle Oglesby (OWNER/THERAPIST) |
| Authorized Official Contact | 4109602496 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Urban Trauma Counseling, Llc 3709 Essex Rd Pikesville MD 21207-4617 Ph: (410) 960-2496 | Urban Trauma Counseling, Llc 715 Ingleside Ave Catonsville MD 21228-1726 Ph: (410) 960-2496 |
| NPI Number | 1265070015 |
|---|---|
| Provider Enumeration Date | 12/11/2019 |
| Last Update Date | 12/11/2019 |
| Certification Date | 12/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265070015 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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