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Organization

PHAZE COUNSELING SERVICES INC

Active
Parent organization
PHAZE COUNSELING SERVICES INC
Organization subpart
Yes

Provider details

NPI number
Legal business name
PHAZE COUNSELING SERVICES INC
Authorized official
SHANNTEL MONIQUE GLADNEY (OWNER)
(443) 622-8755
Entity
Organization

Contact information

Practice address
4425 FITCH AVE STE 118, NOTTINGHAM, MD 21236-3927
(443) 622-8755
Mailing address
4425 FITCH AVE STE 118, NOTTINGHAM, MD 21236-3927
(443) 622-8755

Taxonomy

Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary

Other

Enumeration date
08/14/2020
Last updated
08/14/2020
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