# MID-ATLANTIC MENTAL HEALTH LLC

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

## Provider details

- **NPI number:** 1538934054
- **Authorized official:** JAMIE GLASER LCSW-C (CO-OWNER)
- **Authorized official phone:** (443) 966-0370

## Contact information

- **Practice address:** 8600 LA SALLE RD STE 600, TOWSON, MD 21286-2014
- **Practice address phone:** (443) 966-0370
- **Mailing address:** 8600 LA SALLE RD STE 600, TOWSON, MD 21286-2014

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |

## Other

- **Enumeration date:** 11/15/2023
- **Last updated:** 11/15/2023