| Art Of Becoming, Llc | |
|
7606 Elmcrest Rd Hanover MD 21076-1873 | |
| (240) 599-6255 | |
| Not Available |
| Full Name | Art Of Becoming, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 7606 Elmcrest Rd, Hanover, Maryland |
| Authorized Official Name and Position | Jamice A. Holley (COUNSELOR/THERAPIST) |
| Authorized Official Contact | 2405996255 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Art Of Becoming, Llc 7606 Elmcrest Rd Hanover MD 21076-1873 Ph: (240) 599-6255 | Art Of Becoming, Llc 7606 Elmcrest Rd Hanover MD 21076-1873 Ph: (240) 599-6255 |
| NPI Number | 1750915492 |
|---|---|
| Provider Enumeration Date | 03/02/2020 |
| Last Update Date | 03/28/2024 |
| Certification Date | 03/28/2024 |
| Medicare PECOS PAC ID | 2860932597 |
|---|---|
| Medicare Enrollment ID | O20240909004696 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750915492 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
| Provider Name | Jamice Amanda Holley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306470141 PECOS PAC ID: 3779023403 Enrollment ID: I20240909004715 |
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