Organization
SAFE HARBOR CHRISTIAN COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA GARCI (CREDENTIALING MANAGER)
(410) 893-4600
Entity
Organization
Contact information
Practice address
4425 FORBES BLVD, SUITE J, LANHAM, MD 20706-4338
(410) 893-4600
(443) 640-4358
Mailing address
1208 E CHURCHVILLE RD, SUITE 300, BEL AIR, MD 21014-3442
(410) 893-4600
(443) 640-4358
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
103TC0700X
Clinical Psychologist
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005101200
—
MD
01
—
345110
MEDICARE PTAN
MD
Enumeration date
09/13/2016
Last updated
09/13/2016
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