| Centered Support, Llc | |
|
14201 Laurel Park Dr Suite 215 Laurel MD 20707-5203 | |
| (301) 875-4245 | |
| Not Available |
| Full Name | Centered Support, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 14201 Laurel Park Dr, Laurel, Maryland |
| Authorized Official Name and Position | Bynia Reed (OWNER) |
| Authorized Official Contact | 3014662234 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Centered Support, Llc 6425 Ivy Spring Rd Elkridge MD 21075-5851 Ph: (301) 466-2234 | Centered Support, Llc 14201 Laurel Park Dr Suite 215 Laurel MD 20707-5203 Ph: (301) 875-4245 |
| NPI Number | 1073831772 |
|---|---|
| Provider Enumeration Date | 05/06/2010 |
| Last Update Date | 05/06/2010 |
| Medicare PECOS PAC ID | 6800924713 |
|---|---|
| Medicare Enrollment ID | O20100514000051 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073831772 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 12588 (Maryland) | Primary |
| Provider Name | Bynia Reed |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992747802 PECOS PAC ID: 8224068457 Enrollment ID: I20050817000897 |
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