# BALTIMORE METROPOLITAN COUNSELING CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114397676
- **Authorized official:** MOHAMMAD RIAZ AHMAD CAC-AD (ADMINISTRATOR)
- **Authorized official phone:** (410) 788-6407

## Contact information

- **Practice address:** 17 WARREN RD STE 24A, PIKESVILLE, MD 21208-5012
- **Practice address phone:** (410) 807-2316
- **Mailing address:** 1415 GIBSONWOOD RD, CATONSVILLE, MD 21228-2524
- **Mailing address phone:** (410) 788-6407

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | CAC-AD, AC0313 | MD | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | CAC-AD, AC0313 | MD | — |
| 101YM0800X | Mental Health Counselor | CAC-AD, AC 0313 | MD | Yes |
| 101YM0800X | Mental Health Counselor | CAC-AD, AC0313 | MD | — |

## Other

- **Enumeration date:** 09/28/2015
- **Last updated:** 09/28/2015
