Provider Demographics
NPI:1689271306
Name:STARTING POINT THERAPEUTIC COUNSELING, LLC
Entity Type:Organization
Organization Name:STARTING POINT THERAPEUTIC COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRIDGETTE
Authorized Official - Middle Name:LORI
Authorized Official - Last Name:THREAT
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-C
Authorized Official - Phone:443-840-8775
Mailing Address - Street 1:9199 REISTERSTOWN RD STE 217C
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-4577
Mailing Address - Country:US
Mailing Address - Phone:443-840-8775
Mailing Address - Fax:
Practice Address - Street 1:9199 REISTERSTOWN RD STE 217C
Practice Address - Street 2:
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-4577
Practice Address - Country:US
Practice Address - Phone:443-840-8775
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-06
Last Update Date:2021-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD888146400Medicaid