Prodigy Counseling Services

LBN: Prodigy Counseling Services
Prodigy Counseling Services is an health care organization with primary practice located at 17 Warren Rd , Pikesville MD 21208-5334. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as the primary health care specialty. Prodigy Counseling Services can be contacted via phone (443) 577-8959, or through Ray, Asia via phone (443) 577-8959.

Contact Information

Primary practice address
17 Warren Rd Pikesville MD 21208-5334
Phone: (443) 577-8959
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ray, Asia LCPC
Phone: (443) 577-8959

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1336611912
LBN Legal business name Prodigy Counseling Services
DBA Doing business as
Authorized official Ray, Asia LCPC
Entity Organization
Organization subpart 1 No
Enumeration date Dec 20th, 2018
Last updated Dec 20th, 2018 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336611912 NPPES
Maryland MEDICAID 262005700

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