Organization
MERGENCE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TIESHA MIA COHEN LCPC (CO-FOUNDER/CLINICAL CONSULTANT)
(301) 769-6402
Entity
Organization
Contact information
Practice address
5209 YORK RD, SUITE 15, BALTIMORE, MD 21212-4225
(301) 769-6402
Mailing address
5209 YORK RD, B-10, BALTIMORE, MD 21212-4225
(301) 769-6402
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC6047
MD
Other
Enumeration date
03/24/2015
Last updated
06/09/2015
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