Greenspace Counseling | |
10630 Little Patuxent Pkwy Ste 314j Columbia MD 21044-6216 | |
(443) 766-2269 | |
(443) 319-1127 |
Full Name | Greenspace Counseling |
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Speciality | Social Worker |
Location | 10630 Little Patuxent Pkwy Ste 314j, Columbia, Maryland |
Authorized Official Name and Position | Paris Taylor (CEO/MHP) |
Authorized Official Contact | 4437662269 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Greenspace Counseling 10630 Little Patuxent Pkwy Ste 314j Columbia MD 21044-6216 Ph: (443) 766-2269 | Greenspace Counseling 10630 Little Patuxent Pkwy Ste 314j Columbia MD 21044-6216 Ph: (443) 766-2269 |
NPI Number | 1376123778 |
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Provider Enumeration Date | 04/09/2021 |
Last Update Date | 07/27/2021 |
Certification Date | 07/27/2021 |
Medicare PECOS PAC ID | 8426453606 |
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Medicare Enrollment ID | O20210826000983 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376123778 | NPI | - | NPPES |
1588606305 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Paris Taylor |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1003301755 PECOS PAC ID: 9436565769 Enrollment ID: I20210310001797 |
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