National Provider Identifier Database

SAFE HARBOR CHRISTIAN COUNSELING OF ANNAPOLIS
Professional


Contact Information

SAFE HARBOR CHRISTIAN COUNSELING OF ANNAPOLIS
4434 WINSOR FARM RD
HARWOOD, MD20776
Phone: 410-893-4600
Fax: 443-640-4358
Website:
Specialty Taxonomy Code
* Professional 101YP2500X
Clinical 103TC0700X
Clinical 1041C0700X
Social Worker 104100000X

* Indicates primary specialty

NPI Profile & details for SAFE HARBOR CHRISTIAN COUNSELING OF ANNAPOLIS

NPI Number 1225407869
Legal business name
LBN
SAFE HARBOR CHRISTIAN COUNSELING OF ANNAPOLIS
Authorized official SELENA ELDRIDGE - (DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 09/24/2015
Last updated 09/24/2015 - About 11 years ago
Sole proprietor1 Not specified
Identifiers
  • MD Other: 383298 MEDICARE PTAN

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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