Healthcare Provider Details

I. General information

NPI: 1215572425
Provider Name (Legal Business Name): TAU COUNSELING SERVICES OF MARYLAND
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/12/2019
Last Update Date: 11/12/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8415 BELLONA LN STE 215
TOWSON MD
21204-2066
US

IV. Provider business mailing address

59 BELFAST RD
TIMONIUM MD
21093-4206
US

V. Phone/Fax

Practice location:
  • Phone: 667-217-1188
  • Fax:
Mailing address:
  • Phone: 443-683-2538
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MS. DENISE M DONALDSON
Title or Position: CO-FOUNDER/SR. THERAPIST
Credential: LCSW-C
Phone: 667-217-1188