Organization
GREENSPACE COUNSELING
Active
Organization
GREENSPACE COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PARIS P TAYLOR (OWNER)
(443) 355-7030
Entity
Organization
Contact information
Practice address
6950 W MOOSE RIDGE CIR, WASILLA, AK 99623-9888
(443) 766-2269
(907) 416-4542
Mailing address
10630 LITTLE PATUXENT PKWY STE 314J, COLUMBIA, MD 21044-6216
(443) 766-2269
(866) 629-0091
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588606305
—
MD
Enumeration date
04/09/2021
Last updated
08/23/2024
Update your record
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