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NPI Code Detail

MEDICARE: COTENACIOUS THERAPY

MEDICARE: COTENACIOUS THERAPY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor
21041C0700XClinical Social Worker
3106H00000XMarriage & Family Therapist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11558744987OTHERNPPES
21619560612OTHERNPPES
31811342868OTHERNPPES
41841893773OTHERNPPES
51952954505OTHERNPPES
61962110452OTHERNPPES
71952573271OTHERNPPES
81972173557OTHERNPPES

General Provider Information

NPI Number : 1457935942
Entity Type Code : Organization
Provider Name (Legal Business Name) : COTENACIOUS THERAPY
Provider Business Mailing Address
First Line : 8865 STANFORD BLVD STE 202
Second Line :
City : COLUMBIA
State : MD
Zip : 21045-5422
Country : US
Telephone Number : 443-305-9074
Fax Number : 443-305-8812
Provider Business Practice Location Address
First Line : 8865 STANFORD BLVD STE 202
Second Line :
City : COLUMBIA
State : MD
Zip : 21045-5422
Country : US
Telephone Number : 443-305-9074
Fax Number : 443-305-8812
Authorized Official
Title or Position : OWNER
Name : MS. ALEXANDRA COOPER GROBICKI
Credential : LCMFT
Telephone Number : 443-305-9074
Provider Enumeration Date : 05/10/2021
Last Update Date : 12/13/2024

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Directions to “COTENACIOUS THERAPY ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.