Organization
THE MENTAL HEALTH CENTER OF WESTERN MARYLAND, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY L HOLTZ MBA (EXECUTIVE DIRECTOR)
(301) 791-3045
Entity
Organization
Contact information
Practice address
1180 PROFESSIONAL CT, HAGERSTOWN, MD 21740-5852
(301) 791-3045
(240) 313-3071
Mailing address
1180 PROFESSIONAL CT, HAGERSTOWN, MD 21740-5852
(301) 791-3045
(240) 313-3071
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
281171500
—
MD
05
—
281171519
—
MD
05
—
281171521
—
MD
05
—
405342700
—
MD
05
—
428100400
—
MD
05
—
428100419
—
MD
05
—
428100420
—
MD
05
—
621840700
—
MD
Enumeration date
05/23/2006
Last updated
05/19/2025
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