Organization
ADVANCED THERAPEUTIC SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAJI RAMACHANDRAN LCPC (PSYCHOTHERAPIST)
(443) 768-1851
Entity
Organization
Contact information
Practice address
22 W PADONIA RD STE A203, LUTHERVILLE, MD 21093-2277
(443) 768-1851
Mailing address
21 CROTONA CT, LUTHERVILLE, MD 21093-2018
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
02/03/2018
Last updated
02/03/2018
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