| Changing Seasons Therapeutics, Llc | |
|
140 Green Branch Rd Laurel MD 20708-3411 | |
| (301) 531-5810 | |
| Not Available |
| Full Name | Changing Seasons Therapeutics, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 140 Green Branch Rd, Laurel, Maryland |
| Authorized Official Name and Position | Michellee Alicia Jones (OWNER) |
| Authorized Official Contact | 7036597094 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Changing Seasons Therapeutics, Llc 140 Green Branch Rd Laurel MD 20708-3411 Ph: (301) 531-5810 | Changing Seasons Therapeutics, Llc 140 Green Branch Rd Laurel MD 20708-3411 Ph: (301) 531-5810 |
| NPI Number | 1255042446 |
|---|---|
| Provider Enumeration Date | 12/08/2022 |
| Last Update Date | 12/08/2022 |
| Certification Date | 12/08/2022 |
| Medicare PECOS PAC ID | 7719349570 |
|---|---|
| Medicare Enrollment ID | O20230811000604 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255042446 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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