Provider Demographics
NPI:1184180218
Name:TERRA COUNSELING AND CONSULTING, INC.
Entity Type:Organization
Organization Name:TERRA COUNSELING AND CONSULTING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:BROOKS
Authorized Official - Last Name:PRICE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:667-309-3063
Mailing Address - Street 1:711 W 40TH ST STE 355
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21211-2145
Mailing Address - Country:US
Mailing Address - Phone:667-309-3063
Mailing Address - Fax:667-309-3069
Practice Address - Street 1:711 W 40TH ST STE 355
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21211-2145
Practice Address - Country:US
Practice Address - Phone:667-309-3063
Practice Address - Fax:667-309-3069
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-13
Last Update Date:2019-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health