Organization

Authentic Spaces Counseling, Llc

Community/Behavioral Health Agency in Baltimore, MD(View on Map)

Legal Business Name

Authentic Spaces Counseling, Llc

NPI Number

1710479845

NPI Type

Organization

Enumeration Date

06/04/2018

Specialties

(Taxonomies)

Code

251S00000X

Primary Taxonomy

Yes

Licenses

State

Maryland

License Number

05089

Contact
Information

Purpose

Mailing
Location

Address

5113 FALLS ROAD TER
4502 SCHENLEY RD # 100A

City

Baltimore
Baltimore

State

MD
MD

Postal Code

21210-1921
21210-2524

Country

US
US

Telephone Number

(773) 301-3730
(443) 440-6125

Authorized Official

Name

Dr. Lauren Bynum

Title or Position

OWNER/CLINICAL PSYCHOLOGIST

Telephone Number

(773) 301-3730

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 04/25/2019

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