Organization
CONGRUENT COUNSELING SERVICES LLC
Active
Parent organization
CONGRUENT COUNSELING SERVICES
Other names
CCS Millersville - Medicaid Facility
Organization subpart
Yes
Provider details
NPI number
Legal business name
CONGRUENT COUNSELING SERVICES
Authorized official
MARK DAVID DONOVAN LCPC, LCADC (CEO)
(410) 740-8066
Entity
Organization
Contact information
Practice address
8638 VETERANS HWY STE 301, MILLERSVILLE, MD 21108-1422
(410) 740-8066
(410) 740-8068
Mailing address
10630 LITTLE PATUXENT PKWY STE 209, COLUMBIA, MD 21044-6278
(410) 740-8066
(410) 740-8068
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
905838
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4231881-03
—
MD
Enumeration date
11/20/2014
Last updated
10/28/2021
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