NPI 1003429739
Away of Change Counseling Service, LLC
Practice location
- Address
- 6609 Reisterstown Rd STE 206, Baltimore, MD 21215-2315
- Phone
- (443) 405-3193
- Fax
- (443) 272-7572
- Mailing address
- 5310 Old Court Rd STE 105, Randallstown, MD 21133-5281
Authorised official
- Name
- Doris Allen
- Title
- Ceo & Founder
- Phone
- (443) 405-3193
Registered specialties
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
Registry record
- NPI
- 1003429739
- Entity type
- Organization
- NPI issued
- 24 Aug 2020
- Record last updated
- 18 Mar 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.