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Organization
SOUTHERN MARYLAND MENTAL HEALTH, LLC
Active
Organization
SOUTHERN MARYLAND MENTAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOLLY STACKHOUSE LPC (THERAPIST, OWNER)
(443) 218-3359
Entity
Organization
Contact information
Practice address
3614 11TH ST, CHESAPEAKE BEACH, MD 20732-3130
(240) 523-3497
Mailing address
3614 11TH ST, CHESAPEAKE BEACH, MD 20732-3130
(717) 873-1807
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/11/2023
Last updated
07/23/2024
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