Basal Therapies, LLC
Counselor, Professional in Frederick, MD. Organization (NPI-2).
NPI number1164025375
StatusActive
Last updated in NPPESSep 1, 2021
Details
- NPI
- 1164025375
- Entity type
- Organization (NPI-2)
- Legal business name
- Basal Therapies, LLC
- Organization subpart
- No
- Enumeration date
- Nov 19, 2020
- Certification date
- Sep 1, 2021
- Last updated
- Sep 1, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | – | – | Yes |
Other names
- Basal Therapies, LLC (Doing Business As)
Practice location
5104 Pegasus Ct Ste BFrederick, MD 21704-8323
Phone 443-776-0271
Mailing address
5104 Pegasus Ct Ste BFrederick, MD 21704-8323
Phone 443-776-0271
Authorized official
Kathryn Ferro
Founder & Clinical Director
2408384346
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