Organization
MD COUNSELING SERVICES-OMHC CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR LISA WILSON (EXECUTIVE DIRECTOR)
(443) 779-9901
Entity
Organization
Contact information
Practice address
1304 N MOUNT ST, BALTIMORE, MD 21217-2219
(443) 885-9406
Mailing address
1006 ELBOW CT, ABERDEEN, MD 21001-3984
(443) 779-9901
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
225C00000X
Rehabilitation Counselor
—
—
Other
Enumeration date
05/11/2021
Last updated
07/09/2021
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