Organization
AWAY OF CHANGE COUNSELING SERVICE, LLC
Active
Other names
Away of Change Counseling Service
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DORIS ALLEN MED, M.S., LCADC (FOUNDER AND CEO)
(443) 922-8928
Entity
Organization
Contact information
Practice address
6609 REISTERSTOWN RD STE 206, BALTIMORE, MD 21215-2315
(443) 405-3193
(443) 272-7572
Mailing address
5310 OLD COURT RD STE 304, RANDALLSTOWN, MD 21133-6202
(443) 405-3193
(443) 272-7572
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCA2042
MD
Other
Enumeration date
06/16/2018
Last updated
03/18/2021
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