Breathe Holistic Counseling | |
2818 Evergreen Ave Baltimore MD 21214-1735 | |
(443) 413-6830 | |
Not Available |
Full Name | Breathe Holistic Counseling |
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Speciality | Social Worker |
Location | 2818 Evergreen Ave, Baltimore, Maryland |
Authorized Official Name and Position | Dorothy Estella Adamson Holley (PRESIDENT/PSYCHOTHERAPIST) |
Authorized Official Contact | 4434136830 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Breathe Holistic Counseling 2818 Evergreen Ave Baltimore MD 21214-1735 Ph: (443) 413-6830 | Breathe Holistic Counseling 2818 Evergreen Ave Baltimore MD 21214-1735 Ph: (443) 413-6830 |
NPI Number | 1649738501 |
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Provider Enumeration Date | 03/08/2019 |
Last Update Date | 05/10/2019 |
Medicare PECOS PAC ID | 4183957327 |
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Medicare Enrollment ID | O20190604000142 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649738501 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Dorothy Estella Adamson Holley |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1285791335 PECOS PAC ID: 1557384930 Enrollment ID: I20060111001077 |
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