| Alive Intimacy Llc | |
|
2131 Defense Hwy Ste 2 Crofton MD 21114-2421 | |
| (301) 960-8491 | |
| Not Available |
| Full Name | Alive Intimacy Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 2131 Defense Hwy Ste 2, Crofton, Maryland |
| Authorized Official Name and Position | Rachel Keller (THERAPIST) |
| Authorized Official Contact | 3019608491 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alive Intimacy Llc 2131 Defense Hwy Ste 2 Crofton MD 21114-2421 Ph: (301) 960-8491 | Alive Intimacy Llc 2131 Defense Hwy Ste 2 Crofton MD 21114-2421 Ph: (301) 960-8491 |
| NPI Number | 1366063208 |
|---|---|
| Provider Enumeration Date | 05/01/2020 |
| Last Update Date | 07/24/2020 |
| Certification Date | 07/24/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366063208 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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