Healthcare Provider Details
I. General information
NPI: 1700412723
Provider Name (Legal Business Name): A.R.P COUNSELING & THERAPEUTIC SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/21/2020
Last Update Date: 04/06/2020
Certification Date: 04/06/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1721 PENNSYLVANIA AVE STE 205
BALTIMORE MD
21217-3119
US
IV. Provider business mailing address
1721 PENNSYLVANIA AVE STE 205
BALTIMORE MD
21217-3119
US
V. Phone/Fax
- Phone: 443-869-6041
- Fax:
- Phone: 443-869-6041
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM0850X |
| Taxonomy | Adult Mental Health Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QM0855X |
| Taxonomy | Adolescent and Children Mental Health Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DANIELLE
SCOTT
Title or Position: OWNER
Credential:
Phone: 443-869-6041