Provider Demographics
NPI:1699366278
Name:MARYLAND COUNSELING ASSOCIATES,LLC
Entity Type:Organization
Organization Name:MARYLAND COUNSELING ASSOCIATES,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:
Authorized Official - Last Name:MORI
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:443-841-4008
Mailing Address - Street 1:111 WARREN RD STE 3A
Mailing Address - Street 2:
Mailing Address - City:COCKEYSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21030-3365
Mailing Address - Country:US
Mailing Address - Phone:443-595-7627
Mailing Address - Fax:
Practice Address - Street 1:111 WARREN RD STE 3A
Practice Address - Street 2:
Practice Address - City:COCKEYSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21030-3365
Practice Address - Country:US
Practice Address - Phone:443-595-7627
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-27
Last Update Date:2021-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty