PRODIGY COUNSELING SERVICES NPI 1336611912

NPI Information

  • NPI: 1336611912
  • Provider Name: PRODIGY COUNSELING SERVICES
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 17 WARREN RD
    PIKESVILLE, MD
    ZIP 21208
  • Phone: (443) 577-8959

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NPI Details

PRODIGY COUNSELING SERVICES is a mental health counselor in Pikesville, MD. PRODIGY COUNSELING SERVICES NPI is 1336611912. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

17 WARREN RD
PIKESVILLE, MD
ZIP 21208-334
Phone: (443) 577-8959

The provider's authorized official is Asia Ray .
The authorized official title is Mental Health Therapist and has the following contact phone number (443) 577-8959.

The enumeration date for this NPI number is 12/20/2018 and was last updated on 12/20/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1262005700MEDICAIDMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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