| Bay Area Counseling & Consultation, Llc | |
|
601 Baltimore Annapolis Blvd Ste 206 Severna Park MD 21146-3914 | |
| (410) 553-4450 | |
| Not Available |
| Full Name | Bay Area Counseling & Consultation, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 601 Baltimore Annapolis Blvd Ste 206, Severna Park, Maryland |
| Authorized Official Name and Position | Courtney Jones (OWNER) |
| Authorized Official Contact | 4104308181 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bay Area Counseling & Consultation, Llc 2048 Kurtz Ave # Housea Pasadena MD 21122-3525 Ph: (410) 430-8181 | Bay Area Counseling & Consultation, Llc 601 Baltimore Annapolis Blvd Ste 206 Severna Park MD 21146-3914 Ph: (410) 553-4450 |
| NPI Number | 1588207955 |
|---|---|
| Provider Enumeration Date | 10/17/2019 |
| Last Update Date | 01/22/2025 |
| Certification Date | 01/22/2025 |
| Medicare PECOS PAC ID | 8820447964 |
|---|---|
| Medicare Enrollment ID | O20231214000284 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588207955 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Courtney Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538693619 PECOS PAC ID: 9739538877 Enrollment ID: I20231214000361 |
| Provider Name | Ketty Augustin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881365070 PECOS PAC ID: 4688025398 Enrollment ID: I20240108000481 |
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