Provider Demographics
NPI:1982350674
Name:STRONG CONNECTIONS THERAPY, LLC
Entity Type:Organization
Organization Name:STRONG CONNECTIONS THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:C
Authorized Official - Last Name:SCUDJOREK
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:410-575-3061
Mailing Address - Street 1:120 SISTER PIERRE DR STE 107
Mailing Address - Street 2:
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21204-7521
Mailing Address - Country:US
Mailing Address - Phone:410-575-3061
Mailing Address - Fax:443-327-4454
Practice Address - Street 1:120 SISTER PIERRE DR STE 107
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-7521
Practice Address - Country:US
Practice Address - Phone:410-575-3061
Practice Address - Fax:443-327-4454
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-22
Last Update Date:2024-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & AdolescentGroup - Single Specialty