Martin, Taisha
Martin, Taisha is an sole proprietor health care provider with primary practice located at 320 E Towsontown Blvd Suite 2W, Towson MD 21286. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Martin, Taisha can be contacted via phone (410) 296-2004.Contact Information
Primary practice address
320 E Towsontown Blvd Suite 2W
Towson MD 21286
Phone: (410) 296-2004
Fax: (410) 296-0094
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LC7360 | Maryland |
Profile Details
| NPI number | 1689110660 |
|---|---|
| LBN Legal business name | Martin, Taisha |
| Credentials | LCPC, NCC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 13th, 2017 |
| Last updated | Aug 13th, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689110660 | NPPES |
| Maryland | MEDICAID | 116647600 |
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