Chelise Fox, | |
1734 Maryland Ave Ste 200, Baltimore, MD 21201-5804 | |
(877) 674-2843 | |
Not Available |
Full Name | Chelise Fox |
---|---|
Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 1734 Maryland Ave Ste 200, Baltimore, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831701879 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
Entity Name | Balance Point Wellness Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619390952 PECOS PAC ID: 9931521556 Enrollment ID: O20200626000978 |
Mailing Address | Practice Location Address |
---|---|
Chelise Fox, 849 Tydings Rd, Havre De Grace, MD 21078-2434 Ph: () - | Chelise Fox, 1734 Maryland Ave Ste 200, Baltimore, MD 21201-5804 Ph: (877) 674-2843 |
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