Organization
UNIVERSAL COUNSELING SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY SCHULDEN LCSW-C (EXECUTIVE DIRECTOR)
(410) 752-5525
Entity
Organization
Contact information
Practice address
1401 SEVERN ST STE 201, BALTIMORE, MD 21230-1740
(410) 752-5525
Mailing address
1401 SEVERN ST STE 201, BALTIMORE, MD 21230-1740
(410) 752-5525
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
212150600
—
MD
01
—
215468000
MAGELLAN
MD
01
—
KC29
CAREFIRST/BLUE CROSS/BLUE
MD
01
—
T514
BLUE CHOICE
MD
Enumeration date
10/20/2005
Last updated
10/28/2011
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