Organization
CHOICE CLINICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAYLOR COLE LCSW-C (OWNER/THERAPIST)
(240) 670-4050
Entity
Organization
Contact information
Practice address
111 CENTERWAY, SUITE 202, GREENBELT, MD 20770-1808
(240) 670-4050
Mailing address
125 LAKESIDE DR, GREENBELT, MD 20770-1905
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2564050 00
—
MD
Enumeration date
01/06/2014
Last updated
04/11/2016
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