MS. SHARON MCCOLLOUGH


Address: 3219 Phelps Lane, First Floor, Baltimore, MD 21229
Phone: 4103022177

MS. SHARON MCCOLLOUGH (NPI# 1386179299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1386179299
Entity Type Individual
Full Name MS. SHARON MCCOLLOUGH
Practice Address 3219 Phelps Lane
First Floor
Baltimore
MD 21229
Mailing Address 3219 Phelps Ln Fl 1
Baltimore
MD 21229-3735
Practice Telephone 4103022177
Practice Fax Number 4104881144
Mailing Telephone 4103022177
Mailing Fax Number 4104881144
Enumeration Date 2017-04-28
Last Update Date 2017-04-28
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
LC6669 MD Behavioral Health & Social Service Providers

Office Location

Street Address 3219 PHELPS LANE
FIRST FLOOR
City BALTIMORE
State MD
Zip Code 21229

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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City BALTIMORE
Zip Code 21229

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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