Ccs Eldersburg - Facility For Medicaid
LBN: Congruent Counseling Services Llc
Ccs Eldersburg - Facility For Medicaid is an health care organization with primary practice located at 1643 Liberty Rd Ste 203 , Eldersburg MD 21784-6543. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty.
Congruent Counseling Services Llc can be contacted via phone (410) 740-8066, or through Donovan, Mark via phone (410) 740-8066.
Contact Information
Primary practice address
1643 Liberty Rd Ste 203
Eldersburg MD 21784-6543
Phone: (410) 740-8066
Fax: (410) 740-8068
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | ||
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | 906055 | Maryland |
Profile Details
| NPI number | 1295133692 |
|---|---|
| LBN Legal business name | Congruent Counseling Services Llc |
| DBA Doing business as | Ccs Eldersburg - Facility For Medicaid |
| Authorized official | Donovan, Mark LCPC, LCADC |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Dec 17th, 2014 |
| Last updated | Dec 1st, 2022 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295133692 | NPPES |
| Maryland | MEDICAID | 4231881 01 |
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