Generation Counseling Center LLC
Social Worker, Clinical in Owings Mills, MD. Organization (NPI-2).
NPI number1295022366
StatusActive
Last updated in NPPESNov 4, 2011
Details
- NPI
- 1295022366
- Entity type
- Organization (NPI-2)
- Legal business name
- Generation Counseling Center LLC
- Organization subpart
- Yes
- Enumeration date
- Jul 8, 2011
- Last updated
- Nov 4, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 16619 | MD | Yes |
| 101YP1600X | Counselor, Pastoral | 14786 | MD |
Other names
- Life Lyne Christian Counseling LLC (Doing Business As)
Practice location
43 Gwynnswood RdOwings Mills, MD 21117-1776
Phone 443-739-8732 · Fax 443-394-2647
Mailing address
43 Gwynnswood RdOwings Mills, MD 21117-1776
Phone 443-739-8732 · Fax 443-394-2647
Authorized official
Nadia Surin
Program Director
4437398732
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