Organization
GALLERY OF MINDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL BELISE GREEN RANDLE LCPC (MENTAL HEALTH PROFESSIONAL)
(443) 415-5075
Entity
Organization
Contact information
Practice address
3426 BELAIR RD, BALTIMORE, MD 21213-1233
(443) 763-3718
(410) 325-9198
Mailing address
4015 W FRANKLIN ST, BALTIMORE, MD 21229-2916
(443) 415-5075
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/27/2019
Last updated
12/27/2019
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