Organization
ELIZABETH MCINTOSH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH MCINTOSH MS, LCPC (RESIDENT AGENT)
(410) 258-5681
Entity
Organization
Contact information
Practice address
2324 W JOPPA RD STE 130, LUTHERVILLE, MD 21093-4615
(410) 258-5681
Mailing address
49 CEDAR CHIP CT, PARKVILLE, MD 21234-8035
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LC6434
MD
Other
Enumeration date
07/17/2018
Last updated
05/06/2019
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