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Organization
OUTSIDE THE LINES COUNSELING LLC
Active
Organization
OUTSIDE THE LINES COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMY HEILMAN LCSW-C (THERAPIST)
(410) 245-9722
Entity
Organization
Contact information
Practice address
22 W PADONIA ROAD, SUITE A203, LUTHERVILLE, MD 21093-2277
(410) 245-9722
Mailing address
1204 DUBLIN COURT, LUTHERVILLE, MD 21093-2277
(410) 245-9722
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11825
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063790848
NPI
MD
Enumeration date
09/01/2016
Last updated
09/10/2016
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