| Integrated Counseling Professionals Llc | |
|
1614 E. Churchville Rd Ste 101a Bel Air MD 21015-2050 | |
| (443) 372-8573 | |
| Not Available |
| Full Name | Integrated Counseling Professionals Llc |
|---|---|
| Speciality | Counselor |
| Location | 1614 E. Churchville Rd, Bel Air, Maryland |
| Authorized Official Name and Position | Earnest Russell Reaves (MANAGING MEMBER / CLINICIAN) |
| Authorized Official Contact | 4436914982 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Counseling Professionals Llc 1614 E. Churchville Rd Ste 101a Bel Air MD 21015-2050 Ph: (443) 372-8573 | Integrated Counseling Professionals Llc 1614 E. Churchville Rd Ste 101a Bel Air MD 21015-2050 Ph: (443) 372-8573 |
| NPI Number | 1245701119 |
|---|---|
| Provider Enumeration Date | 12/17/2018 |
| Last Update Date | 12/17/2018 |
| Medicare PECOS PAC ID | 7618414434 |
|---|---|
| Medicare Enrollment ID | O20240730000429 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245701119 | NPI | - | NPPES |
| 1164936738 | Other | MD | INSURERS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Earnest Reaves |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164936738 PECOS PAC ID: 6305383126 Enrollment ID: I20240730000709 |
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