Provider Demographics
NPI:1871271080
Name:OMC COUNSELING LLC
Entity type:Organization
Organization Name:OMC COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:OMAIRA
Authorized Official - Middle Name:
Authorized Official - Last Name:MEJIA CASTANO
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:917-757-6280
Mailing Address - Street 1:101 W 27TH ST APT 1
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21218-6368
Mailing Address - Country:US
Mailing Address - Phone:917-757-6280
Mailing Address - Fax:
Practice Address - Street 1:222 BOSLEY AVE STE C3
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-4399
Practice Address - Country:US
Practice Address - Phone:917-757-6280
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-07
Last Update Date:2023-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health