Organization
WORCESTER YOUTH AND FAMILY COUNSELING SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE TAYLOR (EXECUTIVE DIRECTOR)
(410) 641-4598
Entity
Organization
Contact information
Practice address
124 N MAIN ST STE C, BERLIN, MD 21811-1062
(410) 641-4598
(410) 641-4696
Mailing address
124 N MAIN ST STE C, BERLIN, MD 21811-1062
(410) 641-4598
(410) 641-4696
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
415786900
—
MD
01
—
735579000
MAGELLAN
MD
01
—
G934-0000
NCA CAREFIRST BCBS
MD
01
—
KK62-WO
MD CAREFIRST BCBS
MD
Enumeration date
06/15/2006
Last updated
03/19/2019
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