Organization
IVYWOOD COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORA K WOLZ LCSW-C (OWNER)
(410) 657-2982
Entity
Organization
Contact information
Practice address
4502 SCHENLEY RD # 100A, BALTIMORE, MD 21210-2524
(410) 657-2982
Mailing address
4502 SCHENLEY RD # 100A, BALTIMORE, MD 21210-2524
(410) 657-2982
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
19466
MD
Other
Enumeration date
05/21/2018
Last updated
09/17/2018
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