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NPI Code Detail

MEDICARE: AMY FORD LGPC

MEDICARE: AMY FORD LGPC
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 CounselorLGP17567MD

General Provider Information

NPI Number : 1467387019
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY FORD LGPC
Provider Business Mailing Address
First Line : 5602 BALTIMORE NATIONAL PIKE STE 204
Second Line :
City : CATONSVILLE
State : MD
Zip : 21228-1407
Country : US
Telephone Number : 717-954-5200
Fax Number :
Provider Business Practice Location Address
First Line : 5602 BALTIMORE NATIONAL PIKE STE 204
Second Line :
City : CATONSVILLE
State : MD
Zip : 21228-1407
Country : US
Telephone Number : 717-954-5200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2026
Last Update Date : 06/16/2026

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Directions to “ AMY FORD LGPC” Practice Location

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