| Ross Counseling LLC | |
|
1120 Middle River Rd Middle River MD 21220-2408 | |
| (443) 868-7762 | |
| (443) 868-7643 |
| Full Name | Ross Counseling LLC |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1120 Middle River Rd, Middle River, Maryland |
| Authorized Official Name and Position | Kizzy Dianna Pittrell (CEO) |
| Authorized Official Contact | 4438687762 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ross Counseling LLC 1120 Middle River Rd Middle River MD 21220-2408 Ph: (443) 868-7762 | Ross Counseling LLC 1120 Middle River Rd Middle River MD 21220-2408 Ph: (443) 868-7762 |
| NPI Number | 1679185607 |
|---|---|
| Provider Enumeration Date | 08/20/2020 |
| Last Update Date | 02/24/2023 |
| Certification Date | 02/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679185607 | NPI | - | NPPES |
| 101YM0800X | Medicaid | MD | |
| 589561800 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (NU) | Primary |
| 251S00000X | Community/behavioral Health | (NU) | Secondary |
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