Organization Name: | CENTREPOINTE COUNSELING, INC. |
NPI Number: | 1487035358 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KIMBERLY L COOK (CLINICAL DIRECTOR) |
Mailing Address: | 8187 Telegraph Rd Severn |
State: | MD US |
Postal Code: | 211443205 |
Phone Number: | 8004915369 |
Fax Number: | 3017743678 |
NPI Enumeration Date: | 06/16/2015 |
NPI Last Update Date: | 06/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP1600X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Pastoral |
Taxonomy Definition: |