Provider Demographics
NPI:1588701171
Name:SAFE HARBOR COUNSELING OF ANNE ARUNDEL COUNTY
Entity type:Organization
Organization Name:SAFE HARBOR COUNSELING OF ANNE ARUNDEL COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SIMMONS-ELKINS
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:410-263-0222
Mailing Address - Street 1:744 OAK GROVE CIR
Mailing Address - Street 2:
Mailing Address - City:SEVERNA PARK
Mailing Address - State:MD
Mailing Address - Zip Code:21146-4256
Mailing Address - Country:US
Mailing Address - Phone:410-263-0222
Mailing Address - Fax:410-569-0094
Practice Address - Street 1:1592 WHITEHALL RD
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21409-5669
Practice Address - Country:US
Practice Address - Phone:410-263-0222
Practice Address - Fax:410-569-0094
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty