| Charm City Psychotherapy | |
|
118 Galewood Rd Lutherville Timonium MD 21093-2511 | |
| (912) 399-9223 | |
| Not Available |
| Full Name | Charm City Psychotherapy |
|---|---|
| Speciality | Clinic/Center |
| Location | 118 Galewood Rd, Lutherville Timonium, Maryland |
| Authorized Official Name and Position | Joshua Childers (OWNER) |
| Authorized Official Contact | 6504375674 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Charm City Psychotherapy 118 Galewood Rd Lutherville Timonium MD 21093-2511 Ph: (912) 399-9223 | Charm City Psychotherapy 118 Galewood Rd Lutherville Timonium MD 21093-2511 Ph: (912) 399-9223 |
| NPI Number | 1265238471 |
|---|---|
| Provider Enumeration Date | 02/20/2025 |
| Last Update Date | 02/22/2025 |
| Certification Date | 02/22/2025 |
| Medicare PECOS PAC ID | 8921520404 |
|---|---|
| Medicare Enrollment ID | O20250314000221 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265238471 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Joshua Childers |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740409473 PECOS PAC ID: 7012372972 Enrollment ID: I20230427001775 |
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