Provider Demographics
NPI:1578036752
Name:REBECCA H RADCLIFFE COUNSELING
Entity type:Organization
Organization Name:REBECCA H RADCLIFFE COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:HARRISON
Authorized Official - Last Name:RADCLIFFE
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LCPC
Authorized Official - Phone:610-937-2207
Mailing Address - Street 1:938 WINTER RUN RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLE RIVER
Mailing Address - State:MD
Mailing Address - Zip Code:21220-1854
Mailing Address - Country:US
Mailing Address - Phone:610-937-2207
Mailing Address - Fax:443-228-5964
Practice Address - Street 1:143 MAIN ST REAR BUILDING
Practice Address - Street 2:
Practice Address - City:REISTERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21136-1252
Practice Address - Country:US
Practice Address - Phone:443-228-5964
Practice Address - Fax:443-228-5964
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-09
Last Update Date:2019-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NONEOtherNONE