| Angels Mind Body & Spirit Counseling & Consulting, Llc | |
|
1604 Gunpowder Ridge Rd Joppa MD 21085-5430 | |
| (912) 920-0737 | |
| Not Available |
| Full Name | Angels Mind Body & Spirit Counseling & Consulting, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1604 Gunpowder Ridge Rd, Joppa, Maryland |
| Authorized Official Name and Position | Angel B Hakim (CEO/CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 9129200737 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Angels Mind Body & Spirit Counseling & Consulting, Llc 1604 Gunpowder Ridge Rd Joppa MD 21085-5430 Ph: (912) 920-0737 | Angels Mind Body & Spirit Counseling & Consulting, Llc 1604 Gunpowder Ridge Rd Joppa MD 21085-5430 Ph: (912) 920-0737 |
| NPI Number | 1245892181 |
|---|---|
| Provider Enumeration Date | 07/01/2019 |
| Last Update Date | 02/04/2022 |
| Certification Date | 02/04/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245892181 | NPI | - | NPPES |
| 1285283861 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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