Organization · NPI-2
Grassy Creek Counseling, LLC
Clinic/Center, Adult Mental Health · Belcamp, MD
NPI number1285487470
StatusActive
Last updated in NPPESMar 20, 2026
Details
- NPI
- 1285487470
- Entity type
- Organization (NPI-2)
- Legal business name
- Grassy Creek Counseling, LLC
- Organization subpart
- No
- Enumeration date
- Apr 8, 2024
- Certification date
- Mar 20, 2026
- Last updated
- Mar 20, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | Yes |
Practice location
1306 Liriope Ct Apt T3Belcamp, MD 21017-2648
Phone 443-222-1263
Mailing address
1306 Liriope Ct Apt T3Belcamp, MD 21017-2648
Phone 443-222-1263
Authorized official
Kaila-Leigh Testerman Nunley
Owner/Therapist
4432221263
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