Life Support Clinical Counseling Service Llc/prp
NPI #1477186278 in Glen Burnie, Maryland
Provider Information
- NPI Number
- 1477186278
- Entity Type
- Organization
- Organization Name
- Life Support Clinical Counseling Service Llc/prp
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- LIFE SUPPORT CLINICAL COUNSELING SERVICE LLC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Feb 20, 2020
- Last Updated
- Feb 20, 2020
Practice Location
- Address
- 1412 CRAIN HWY N STE 6B
- City
- Glen Burnie
- State
- Maryland
- ZIP Code
- 21061-9306
- Phone
- (410) 980-3163
Authorized Official
- Name
- ALICE RITA HUNLEY, LCPC
- Title
- OWNER
- Phone
- (410) 980-3163
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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