Organization
CONGRUENT COUNSELING SERVICES LLC
Active
Parent organization
CONGRUENT COUNSELING SERVICES
Other names
CCS Columbia-Facility (Medicaid)
Organization subpart
Yes
Provider details
NPI number
Legal business name
CONGRUENT COUNSELING SERVICES
Authorized official
AMY ROTTIER (CFO)
(410) 740-8066
Entity
Organization
Contact information
Practice address
10630 LITTLE PATUXENT PKWY, SUITE 209, COLUMBIA, MD 21044-6278
(410) 740-8066
(410) 740-8068
Mailing address
10630 LITTLE PATUXENT PKWY, SUITE 209, COLUMBIA, MD 21044-6278
(410) 740-8066
(410) 740-8068
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4231881 00
—
MD
Enumeration date
12/16/2014
Last updated
10/28/2021
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