| Counseling On Call | |
|
1004 S Clinton St Baltimore MD 21224-5026 | |
| (315) 317-0310 | |
| Not Available |
| Full Name | Counseling On Call |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1004 S Clinton St, Baltimore, Maryland |
| Authorized Official Name and Position | Jay Gould (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 4432615963 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling On Call 1004 S Clinton St Baltimore MD 21224-5026 Ph: (315) 317-0310 | Counseling On Call 1004 S Clinton St Baltimore MD 21224-5026 Ph: (315) 317-0310 |
| NPI Number | 1356931448 |
|---|---|
| Provider Enumeration Date | 01/22/2021 |
| Last Update Date | 10/25/2023 |
| Certification Date | 10/25/2023 |
| Medicare PECOS PAC ID | 1759797459 |
|---|---|
| Medicare Enrollment ID | O20250221000261 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356931448 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Shirelle Kleitz Flowers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578698544 PECOS PAC ID: 5496162869 Enrollment ID: I20210331001907 |
| Provider Name | Scherra M Boarman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316474315 PECOS PAC ID: 4981083482 Enrollment ID: I20220613002644 |
| Provider Name | Glenna Guthrie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477253680 PECOS PAC ID: 0749647055 Enrollment ID: I20230601000312 |
| Provider Name | Jay Gould |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306332986 PECOS PAC ID: 3577979277 Enrollment ID: I20250221000870 |
| Provider Name | Lydia Gugsa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275948622 PECOS PAC ID: 3870032501 Enrollment ID: I20250312000290 |
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