South River Counseling, LLC
NPI #1295276905 in Davidsonville, Maryland
Provider Information
- NPI Number
- 1295276905
- Entity Type
- Organization
- Organization Name
- South River Counseling, LLC
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Mar 14, 2017
- Last Updated
- Mar 14, 2017
Practice Location
- Address
- 3428 CONSTELLATION DR
- City
- Davidsonville
- State
- Maryland
- ZIP Code
- 21035-1341
- Phone
- (443) 994-1048
Authorized Official
- Name
- LAURI HEINLEIN MCCORMACK, LCPC
- Title
- OWNER
- Phone
- (443) 994-1048
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
| Counselor - Mental Health — Mental Health |
| Counselor - Professional — Professional |
| Marriage & Family Therapist |
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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