Evans, Farah Maria
Evans, Farah Maria is an sole proprietor health care provider with primary practice located at 1055 Taylor Ave Suite 205, Towson MD 21286-8317. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Evans, Farah Maria can be contacted via phone (410) 296-2004.Contact Information
Primary practice address
1055 Taylor Ave Suite 205
Towson MD 21286-8317
Phone: (410) 296-2004
Fax: (410) 296-0094
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Professional | 101YP2500X | LC4226 | Maryland |
Behavioral Health & Social Service Providers / School | 101YS0200X | 13-9188 | Maryland |
Profile Details
NPI number | 1194076323 |
---|---|
LBN Legal business name | Evans, Farah Maria |
Credentials | LCPC |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 27th, 2012 |
Last updated | Jul 12th, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1194076323 | NPPES |
Maryland | Other | LC4226 | BOARD OF PROFESSIONAL COUNSELORS & THERAPIST |
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