Organization
FAMILY THERAPY SERVICES,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARENEQUE BARTHOLOMEW PHD (CEO/OWNER)
(410) 808-5770
Entity
Organization
Contact information
Practice address
110 E. LEXINGTON STREET, SUITE 200, BALTIMORE, MD 21202
(410) 483-7357
(410) 483-7359
Mailing address
110 E. LEXINGTON STREET, SUITE 200, BALTIMORE, MD 21202
(410) 483-7357
(410) 483-7359
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
15330
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
418891800
—
MD
Enumeration date
08/27/2015
Last updated
11/20/2024
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