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Organization
SOLA GRATIA COUNSELING CENTER LLC
Active
Organization
SOLA GRATIA COUNSELING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE HAINES LCSW (OWNER)
(301) 697-4975
Entity
Organization
Contact information
Practice address
13850 FIR TREE LN, CUMBERLAND, MD 21502-5959
(240) 301-3052
Mailing address
13850 FIR TREE LN, CUMBERLAND, MD 21502-5959
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
NULL
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
103T00000X
Psychologist
—
NULL
103T00000X
Psychologist
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
10/09/2023
Last updated
10/09/2023
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