NORTH CARROLL COUNSELING & WELLNESS CENTER (NPI# 1780166538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780166538 |
| Entity Type | Organization |
| Organization Name | NORTH CARROLL COUNSELING & WELLNESS CENTER |
| Practice Address |
1011 South Main Street Hampstead MD 21074-2230 |
| Mailing Address |
Po Box 603 Hampstead MD 21074-0603 |
| Practice Telephone | 4105529007 |
| Practice Fax Number | 4105529881 |
| Mailing Telephone | 4105529007 |
| Mailing Fax Number | 4105529881 |
| Enumeration Date | 2018-08-29 |
| Last Update Date | 2018-08-29 |
| Authorized Official Name | ANDREA R MAURER (OWNER) |
| Authorized Official Telephone | 4105529007 |
| Authorized Official Credential | LCSW-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
09676 | MD | Ambulatory Health Care Facilities |
| Street Address |
1011 SOUTH MAIN STREET |
| City | HAMPSTEAD |
| State | MD |
| Zip Code | 21074-2230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306987565 | Thomas P Kenney | Optometrist | 1631 N Main Street, Hampstead, MD 21074 | 2007-02-09 |
| 1649348798 | Resh Family Dentistry | Dentist | Box 198, 1306 N Main St, Hampstead, MD 21074 | 2006-11-30 |
| 1649344409 | Sarah Jennifer Frattali | Internal Medicine | 4231 Northwood Drive, Hampstead, MD 21074 | 2006-11-20 |
| 1538233390 | Barbara Ann Ball | Family Medicine | 4231 North Woods Trail, Hampstead, MD 21074 | 2006-11-20 |
| 1639257066 | Eugene Duston Mersinger | Dentist | 695 Hanover Road, Hampstead, MD 21074 | 2006-11-02 |
| 1720162100 | Jon Michael Breakey | Physical Therapist | 1801 Hanover Pike, Hampstead, MD 21074 | 2006-10-24 |
| 1942395322 | Kimberly Louise Locati-boucher | Occupational Therapist | 1208 Woodland Court, Hampstead, MD 21074 | 2006-10-03 |
| 1477656130 | Maryland Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2311 Hanover Pike, Hampstead, MD 21074 | 2006-09-07 |
| 1760490023 | Domingo A Rocha | Family Medicine | 4231 Northwoods Trail, Hampstead, MD 21074 | 2006-08-03 |
| 1255364584 | Weis Markets Inc | Pharmacy | 720 Hanover Pike, Hampstead, MD 21074 | 2006-07-09 |
| Find all providers in zip 21074 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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| 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.