Organization
TRANSFORMING LIVES COUNSELING AND PRP SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA ANNETTE POWELL MSW (THERAPIST)
(410) 645-1000
Entity
Organization
Contact information
Practice address
1900 E NORTHERN PKWY STE T5, BALTIMORE, MD 21239-2120
(410) 645-1000
(667) 205-1382
Mailing address
1900 E NORTHERN PKWY STE T5, BALTIMORE, MD 21239-2120
(410) 645-1000
(667) 205-1382
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261Q00000X
Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
05/31/2023
Last updated
05/31/2023
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