Organization
BEST LIFE COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ASHLEY ALICIA WILLIS LCSWC (OWNER/THERAPIST)
(443) 386-4897
Entity
Organization
Contact information
Practice address
100 OWINGS CT STE 12, REISTERSTOWN, MD 21136-6434
(443) 386-4897
Mailing address
4779 CLAIRELEE DR, OWINGS MILLS, MD 21117-4759
(443) 386-4897
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17988
SOCIAL WORK LICENSE
MD
Enumeration date
08/31/2020
Last updated
08/31/2020
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