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Organization

MARISSA BLOCK LLC

Active
Other names
Insight Therapy
Organization subpart
No

Provider details

NPI number
Authorized official
MARISSA BLOCK (CEO/FOUNDER)
(443) 300-6905
Entity
Organization

Contact information

Practice address
200 E JOPPA RD, TOWSON, MD 21286-3150
(443) 300-6905
(443) 233-0231
Mailing address
502 CHARLES STREET AVE, TOWSON, MD 21204-4206
(636) 399-6160
(443) 233-0231

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1041C0700X
Clinical Social Worker
163WP0808X
Psychiatric/Mental Health Registered Nurse

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1104390012
INDIVIDUAL NPI
Enumeration date
10/07/2020
Last updated
06/13/2023
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