Organization
ENACT COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS ETHERIDGE (THERAPIST, OWNER)
(667) 706-9091
Entity
Organization
Contact information
Practice address
5500 HARFORD RD STE 201, BALTIMORE, MD 21214-2290
(667) 706-9091
Mailing address
5500 HARFORD RD STE 201, BALTIMORE, MD 21214-2290
(667) 706-9091
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/07/2021
Last updated
04/07/2021
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