Organization
BALANCED LIVING COUNSELING
Active
Other names
Chesapeake Mental Health Collaborative
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HEIDI SCHREIBER-PAN LCPC (CLINICAL DIRECTOR)
(443) 695-2834
Entity
Organization
Contact information
Practice address
1010 DULANEY VALLEY RD, TOWSON, MD 21204-2702
(410) 567-1117
Mailing address
4101 KINCAID RD, BALDWIN, MD 21013-9609
(443) 695-2834
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC5639
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
896691
—
MD
01
—
BX90-0000
CAREFIRST BLUECROSS BLUESHIELD
MD
Enumeration date
05/25/2017
Last updated
04/16/2021
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