Organization
THE SPIRIT WITHIN YOU COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTINE MARIE NELSON LCPC (CEO)
(443) 286-4507
Entity
Organization
Contact information
Practice address
5616 BELL GWYNN RD # 216, GLEN ARM, MD 21057-9343
(443) 286-4507
Mailing address
5616 BELL GWYNN RD # 216, GLEN ARM, MD 21057-9343
(443) 286-4507
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
103TC1900X
Counseling Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117056200
—
MD
05
—
357020700
—
MD
05
—
929805
—
MD
Enumeration date
10/24/2018
Last updated
10/21/2019
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