# URBAN TRAUMA COUNSELING CENTER, LLC

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

## Provider details

- **NPI number:** 1407637705
- **Authorized official:** SHINELLE OGLESBY LCPC (CEO/CLINICAL DIRECTOR)
- **Authorized official phone:** (410) 844-0770

## Contact information

- **Practice address:** 3100 LORD BALTIMORE DR STE 110, WINDSOR MILL, MD 21244-5804
- **Practice address phone:** (410) 844-0770
- **Mailing address:** 3709 ESSEX RD, PIKESVILLE, MD 21207-4617
- **Mailing address phone:** (410) 960-2496

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WP2201X | Ambulatory Care Registered Nurse | — | NULL | Yes |
| 163WP2201X | Ambulatory Care Registered Nurse | — | — | Yes |

## Other

- **Enumeration date:** 10/12/2023
- **Last updated:** 10/12/2023