FAMILY THERAPY SERVICES,LLC


Address: 3238-40 Belair Road, 2nd Floor, Baltimore, MD 21213
Phone: 4104837357

FAMILY THERAPY SERVICES,LLC (NPI# 1073980827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073980827
Entity Type Organization
Organization Name FAMILY THERAPY SERVICES,LLC
Practice Address 3238-40 Belair Road
2nd Floor
Baltimore
MD 21213
Practice Telephone 4104837357
Practice Fax Number 4104837359
Mailing Telephone 4104837357
Mailing Fax Number 4104837359
Enumeration Date 2015-08-27
Last Update Date 2015-08-27
Authorized Official Name DR. LARENEQUE BARTHOLOMEW (EXECUTIVE DIRECTOR)
Authorized Official Telephone 4104837357
Authorized Official Credential PHD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
15330 MD Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MD 418891800 05

Office Location

Street Address 3238-40 BELAIR ROAD
2ND FLOOR
City BALTIMORE
State MD
Zip Code 21213

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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City BALTIMORE
Zip Code 21213

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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