| Alive Consulting Solutions, Llc | |
|
9701 Apollo Dr Ste 100 Largo MD 20774-4785 | |
| (301) 851-9965 | |
| Not Available |
| Full Name | Alive Consulting Solutions, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 9701 Apollo Dr Ste 100, Largo, Maryland |
| Authorized Official Name and Position | Eugene L. Vanburch (THERAPIST/ADMINISTRATOR) |
| Authorized Official Contact | 3018519965 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alive Consulting Solutions, Llc 524 Garrett A Morgan Blvd Hyattsville MD 20785-4510 Ph: () - | Alive Consulting Solutions, Llc 9701 Apollo Dr Ste 100 Largo MD 20774-4785 Ph: (301) 851-9965 |
| NPI Number | 1275294845 |
|---|---|
| Provider Enumeration Date | 01/06/2022 |
| Last Update Date | 01/06/2022 |
| Certification Date | 01/06/2022 |
| Medicare PECOS PAC ID | 1658711254 |
|---|---|
| Medicare Enrollment ID | O20240430001910 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275294845 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Eugene Vanburch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124450051 PECOS PAC ID: 4082981675 Enrollment ID: I20240430002651 |
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