Organization
SUBURBAN PASTORAL COUNSELING CLINIC INC
Active
Other names
Suburban Pastoral Counseling Clinic, Inc., Surburban Crossroads Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
TYLER JAMES HOWARD (AUTHORIZED OFFICIAL)
(979) 450-9375
Entity
Organization
Contact information
Practice address
1 N BEECHWOOD AVE, CATONSVILLE, MD 21228-4926
(410) 775-8233
Mailing address
PO BOX 3274, CATONSVILLE, MD 21228-0274
(410) 775-8233
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
LC1801
MD
104100000X
Social Worker
13411
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104796500
—
MD
01
—
QR62SU
CAREFIRST MD
MD
01
—
R039
CAREFIRST FEDERAL
MD
Enumeration date
10/27/2005
Last updated
09/18/2025
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