Organization
FAMILY THERAPY BEHAVIORAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARENEQUE BARTHOLOMEW LCPC (OWNER)
(443) 438-4572
Entity
Organization
Contact information
Practice address
110 E LEXINGTON ST STE 200A, BALTIMORE, MD 21202-1745
(443) 438-4572
(410) 483-7359
Mailing address
110 E LEXINGTON ST STE 200A, BALTIMORE, MD 21202-1745
(443) 438-4572
(410) 483-7359
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/21/2021
Last updated
04/21/2021
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