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Mental Health Counseling & Life Coaching Corporation

Social Worker, Clinical in Baltimore, MD. Organization (NPI-2).

NPI number1003418161
StatusActive
Last updated in NPPESFeb 11, 2021

Details

NPI
1003418161
Entity type
Organization (NPI-2)
Legal business name
Mental Health Counseling & Life Coaching Corporation
Organization subpart
No
Enumeration date
Nov 13, 2020
Certification date
Feb 11, 2021
Last updated
Feb 11, 2021

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical––Yes

Practice location

3401 Greenway Unit 103
Baltimore, MD 21218-2601

Phone 410-279-5043

Mailing address

3401 Greenway Unit 103
Baltimore, MD 21218-2601

Phone 410-279-5043

Authorized official

Ellen C Satyshur
Psychotherapist
4102795043

Is something wrong?

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