Organization Name: | DISCOVERY HARBOR COUNSELING CENTER LLC |
NPI Number: | 1003295676 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | URSULA TOWLES (LICENSED CLINICAL PROFESSIONAL COUN) |
Mailing Address: | 22776 Three Notch Rd Suite #202 Lexington Park |
State: | MD US |
Postal Code: | 206533368 |
Phone Number: | 3018629600 |
Fax Number: | |
NPI Enumeration Date: | 05/28/2015 |
NPI Last Update Date: | 05/28/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | LC5015 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |