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Organization
ANGELIC BEHAVIORAL HEALTH SERVICES
Active
Organization
ANGELIC BEHAVIORAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ZONA LORVENIA TEAL LMSW, LCADC (PROGRAM DIRECTOR)
(410) 908-4788
Entity
Organization
Contact information
Practice address
23 E NORTH AVE, BALTIMORE, MD 21202-5905
(410) 908-4788
Mailing address
19 STUART MILLS PL, CATONSVILLE, MD 21228-2656
(410) 908-4788
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
NULL
101YP2500X
Professional Counselor
—
—
103TC1900X
Counseling Psychologist
—
NULL
103TC1900X
Counseling Psychologist
—
—
251S00000X
Community/Behavioral Health Agency
—
NULL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
Other
Enumeration date
05/04/2021
Last updated
05/04/2021
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