# PHAZE COUNSELING SERVICES INC

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

## Provider details

- **NPI number:** 1629842141
- **Authorized official:** SHANNTEL MONIQUE GLADNEY (CEO)
- **Authorized official phone:** (443) 622-8755

## Contact information

- **Practice address:** 8007 CORPORATE DR STE A, NOTTINGHAM, MD 21236-4905
- **Practice address phone:** (410) 874-9595
- **Mailing address:** 8007 CORPORATE DR STE A, NOTTINGHAM, MD 21236-4905
- **Mailing address phone:** (410) 874-9595

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |

## Other

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