| Authentic Healing Health And Wellness Center, Llc | |
|
1717 Largo Rd Upper Marlboro MD 20774-8524 | |
| (240) 417-4681 | |
| Not Available |
| Full Name | Authentic Healing Health And Wellness Center, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1717 Largo Rd, Upper Marlboro, Maryland |
| Authorized Official Name and Position | Katrea Denson (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 2404174681 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Authentic Healing Health And Wellness Center, Llc 1717 Largo Rd Upper Marlboro MD 20774-8524 Ph: () - | Authentic Healing Health And Wellness Center, Llc 1717 Largo Rd Upper Marlboro MD 20774-8524 Ph: (240) 417-4681 |
| NPI Number | 1205502937 |
|---|---|
| Provider Enumeration Date | 08/22/2021 |
| Last Update Date | 08/23/2021 |
| Certification Date | 08/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205502937 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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