Organization
OUR PLACE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW PIERCEY LCPC (EXECUTIVE DIRECTOR)
(443) 819-0143
Entity
Organization
Contact information
Practice address
4990 MERCANTILE RD UNIT 44723, NOTTINGHAM, MD 21236-8572
(443) 819-0143
Mailing address
4990 MERCANTILE RD UNIT 44723, NOTTINGHAM, MD 21236-8572
(443) 819-0143
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
907666200
—
MD
Enumeration date
06/24/2024
Last updated
06/24/2024
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