# AWAY OF CHANGE COUNSELING SERVICE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Away of Change Counseling Service
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932693611
- **Authorized official:** MS. DORIS ALLEN MED, M.S., LCADC (FOUNDER AND CEO)
- **Authorized official phone:** (443) 405-3193

## Contact information

- **Practice address:** 6609 REISTERSTOWN RD STE 206, BALTIMORE, MD 21215-2315
- **Practice address phone:** (443) 405-3193
- **Practice address fax:** (443) 272-7572
- **Mailing address:** 5310 OLD COURT RD STE 304, RANDALLSTOWN, MD 21133-6202
- **Mailing address phone:** (443) 405-3193
- **Mailing address fax:** (443) 272-7572

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | LCA2042 | MD | Yes |

## Other

- **Enumeration date:** 06/18/2018
- **Last updated:** 03/18/2021