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Organization

DIVINE COUNSELING LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CARA A BALTIMORE LCSW-C (OWNER/THERAPIST/PRP DIRECTOR/REHAB)
(443) 202-1377
Entity
Organization

Contact information

Practice address
90 PAINTERS MILL RD STE 136, OWINGS MILLS, MD 21117-3610
(443) 955-2662
Mailing address
1829 REISTERSTOWN RD STE 350, PIKESVILLE, MD 21208-7126
(443) 202-1377

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
251S00000X
Community/Behavioral Health Agency
261QM0850X
Adult Mental Health Clinic/Center
261QM0855X
Adolescent and Children Mental Health Clinic/Center
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000000000000000
I DO NOT HAVE MEDICARE/MEDICAID NUMBERS YET
MD
Enumeration date
06/08/2021
Last updated
01/16/2025
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