Provider Demographics
NPI:1275615338
Name:PCC LTD
Entity Type:Organization
Organization Name:PCC LTD
Other - Org Name:PASADENA CENTER FOR COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:M
Authorized Official - Last Name:ANDREWS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-591-0230
Mailing Address - Street 1:8131 RITCHIE HWY
Mailing Address - Street 2:SUITE G
Mailing Address - City:PASADENA
Mailing Address - State:MD
Mailing Address - Zip Code:21122-6940
Mailing Address - Country:US
Mailing Address - Phone:410-360-4774
Mailing Address - Fax:410-544-4928
Practice Address - Street 1:8131 RITCHIE HWY
Practice Address - Street 2:SUITE G
Practice Address - City:PASADENA
Practice Address - State:MD
Practice Address - Zip Code:21122-6940
Practice Address - Country:US
Practice Address - Phone:410-360-4774
Practice Address - Fax:410-544-4928
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-19
Last Update Date:2021-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDKG53PAOtherCAREFIRST BCBS
MD2133418OtherUNITED HEALTHCARE
MD900001569001OtherAPS HEALTHCARE
MD232380000OtherMAGELLAN BEHAVIORAL HEALT
DCR731OtherCAREFIRST BCBS NCA
MD0002226332OtherAETNA
MD503POtherMEDICARE PTAN
MD232380000OtherMAGELLAN BEHAVIORAL HEALT
MD503POtherMEDICARE PTAN
MD2133418OtherUNITED HEALTHCARE
MD=========OtherUNITED BEHAVIORAL HEALTH
MDP=========OtherKAISER PERMANENTE