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Organization
MOOD THERAPEUTIC SERVICES
Active
Organization
MOOD THERAPEUTIC SERVICES
Active
Other names
Mood Therapeutic Services
Organization subpart
No
Provider details
NPI number
Authorized official
JANAE M WINDER (LCPC)
(443) 614-6505
Entity
Organization
Contact information
Practice address
10440 LITTLE PATUXENT PKWY STE 300, COLUMBIA, MD 21044-3648
(443) 232-9477
Mailing address
10440 LITTLE PATUXENT PKWY STE 300, COLUMBIA, MD 21044-3648
(443) 614-6505
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104307438
—
MD
Enumeration date
07/12/2021
Last updated
07/12/2021
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