Organization
GENERATION COUNSELING CENTER LLC
Active
Organization
GENERATION COUNSELING CENTER LLC
Active
Parent organization
GENERATION COUNSELING CENTER LLC
Other names
Life Lyne Christian Counseling LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
GENERATION COUNSELING CENTER LLC
Authorized official
MS. NADIA SURIN LCSW-C (PROGRAM DIRECTOR)
(443) 739-8732
Entity
Organization
Contact information
Practice address
43 GWYNNSWOOD RD, OWINGS MILLS, MD 21117-1776
(443) 739-8732
(443) 394-2647
Mailing address
43 GWYNNSWOOD RD, OWINGS MILLS, MD 21117-1776
(443) 739-8732
(443) 394-2647
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
14786
MD
1041C0700X
Clinical Social Worker
Primary
16619
MD
Other
Enumeration date
07/08/2011
Last updated
11/04/2011
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