Provider Demographics
NPI:1669243564
Name:REMNANT COUNSELING CENTER L.L.C.
Entity type:Organization
Organization Name:REMNANT COUNSELING CENTER L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAISY
Authorized Official - Middle Name:E
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-359-8352
Mailing Address - Street 1:4709 HARFORD RD STE 67
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21214-3261
Mailing Address - Country:US
Mailing Address - Phone:859-359-8352
Mailing Address - Fax:859-554-4110
Practice Address - Street 1:4709 HARFORD RD STE 67
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21214-3261
Practice Address - Country:US
Practice Address - Phone:859-359-8352
Practice Address - Fax:859-554-4110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-10
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty