Mediserv
NPI #1164189866 in Ellicott City, Maryland
Provider Information
- NPI Number
- 1164189866
- Entity Type
- Organization
- Organization Name
- Mediserv
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Nov 17, 2021
- Last Updated
- Nov 22, 2021
Practice Location
- Address
- 3137 PINE ORCHARD LN APT 202
- City
- Ellicott City
- State
- Maryland
- ZIP Code
- 21042-4263
- Phone
- (443) 418-9957
Authorized Official
- Name
- MARSHA P HOLEVAS
- Title
- OWNER
- Phone
- (443) 418-9957
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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