Suburban Pastoral Counseling Clinic, Inc.
LBN: Suburban Crossroads Counseling
Suburban Pastoral Counseling Clinic, Inc. is an health care organization with primary practice located at 1 N Beechwood Ave , Catonsville MD 21228-4926. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty.
Suburban Crossroads Counseling can be contacted via phone (410) 775-8233, or through Howard, Tyler James via phone (979) 450-9375.
Contact Information
Primary practice address
1 N Beechwood Ave
Catonsville MD 21228-4926
Phone: (410) 775-8233
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LC1801 | Maryland |
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 13411 | Maryland |
Profile Details
| NPI number | 1588654701 |
|---|---|
| LBN Legal business name | Suburban Crossroads Counseling |
| DBA Doing business as | Suburban Pastoral Counseling Clinic, Inc. |
| Authorized official | Howard, Tyler James |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 27th, 2005 |
| Last updated | Apr 5th, 2024 - about 5 months 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 | 1588654701 | NPPES |
| Maryland | Other | QR62SU | CAREFIRST MD |
| Maryland | Other | R039 | CAREFIRST MD |
| Maryland | MEDICAID | 104796500 | CAREFIRST MD |
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