Organization
MARYLAND FAMILY THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRINCESS SOUVENIR DBH, LCPC (PARTNER)
(313) 815-5967
Entity
Organization
Contact information
Practice address
100 HARBORVIEW DR UNIT 2109, BALTIMORE, MD 21230-5449
(617) 659-5299
Mailing address
100 HARBORVIEW DR UNIT 2109, BALTIMORE, MD 21230-5449
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/26/2024
Last updated
11/26/2024
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