Organization
CONGRUENT COUNSELING SERVICES LLC
Active
Parent organization
CONGRUENT COUNSELING SERVICES
Other names
CCS Eldersburg - Facility for Medicaid
Organization subpart
Yes
Provider details
NPI number
Legal business name
CONGRUENT COUNSELING SERVICES
Authorized official
MARK DONOVAN LCPC, LCADC (PRESIDENT)
(410) 740-8066
Entity
Organization
Contact information
Practice address
1643 LIBERTY RD STE 203, ELDERSBURG, MD 21784-6543
(410) 740-8066
(410) 740-8068
Mailing address
10630 LITTLE PATUXENT PKWY STE 209, COLUMBIA, MD 21044-6278
(410) 740-8066
(410) 740-8068
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
906055
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4231881 01
—
MD
Enumeration date
12/17/2014
Last updated
12/01/2022
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