Organization
TRANSFORMING LIVES COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELISSA ANNETTE POWELL LCSW-C (THERAPIST)
(410) 645-1000
Entity
Organization
Contact information
Practice address
1900 E NORTHERN PKWY STE T5, BALTIMORE, MD 21239-2120
(410) 645-1000
(672) 051-3826
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
251S00000X
Community/Behavioral Health Agency
Primary
15042
MD
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2311946
COMPYSCH
MD
01
—
284769
USFHP
MD
05
—
510527700
—
MD
01
—
600938112
MAGELLAN
MD
01
—
R505-0162
CHOICE
MD
Enumeration date
04/24/2017
Last updated
07/15/2020
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