# -

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

## Provider details

- **NPI number:** 1528634276
- **Authorized official:** DENISHA GINGLES (OWNER)
- **Authorized official phone:** (443) 304-8595

## Contact information

- **Practice address:** 10999 RED RUN BLVD STE 205, OWINGS MILLS, MD 21117-3249
- **Practice address phone:** (443) 304-8595
- **Mailing address:** 10999 RED RUN BLVD STE 205, OWINGS MILLS, MD 21117-3249
- **Mailing address phone:** (443) 304-8595

## Taxonomy

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

## Other

- **Enumeration date:** 06/02/2021
- **Last updated:** 06/02/2021