# SOLA GRATIA COUNSELING CENTER LLC

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

## Provider details

- **NPI number:** 1225819055
- **Authorized official:** CHRISTINE HAINES LCSW (OWNER)
- **Authorized official phone:** (301) 697-4975

## Contact information

- **Practice address:** 13850 FIR TREE LN, CUMBERLAND, MD 21502-5959
- **Practice address phone:** (240) 301-3052
- **Mailing address:** 13850 FIR TREE LN, CUMBERLAND, MD 21502-5959

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | — | NULL | — |
| 101Y00000X | Counselor | — | — | — |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 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