Healthcare Provider Details

I. General information

NPI: 1932246485
Provider Name (Legal Business Name): SAFE HARBOR CHRISTIAN COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5310 HAZELWOOD AVE
BALTIMORE MD
21206-2232
US

IV. Provider business mailing address

2227 OLD EMMORTON ROAD SUITE 119
BEL AIR MD
21015
US

V. Phone/Fax

Practice location:
  • Phone: 410-529-5150
  • Fax: 410-569-0094
Mailing address:
  • Phone: 410-893-4600
  • Fax: 410-569-0094

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLC2118
License Number StateMD

VIII. Authorized Official

Name: MRS. MARIE SATTERWHITE
Title or Position: COUNSELOR
Credential: LCPC
Phone: 410-893-4600