| Changingperspectives22 Pllc | |
|
4219 Vine St Capitol Heights MD 20743-5621 | |
| (443) 310-2569 | |
| Not Available |
| Full Name | Changingperspectives22 Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 4219 Vine St, Capitol Heights, Maryland |
| Authorized Official Name and Position | Kwame H Carter (OWNER) |
| Authorized Official Contact | 4433102569 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Changingperspectives22 Pllc 4219 Vine St Capitol Heights MD 20743-5621 Ph: (443) 310-2569 | Changingperspectives22 Pllc 4219 Vine St Capitol Heights MD 20743-5621 Ph: (443) 310-2569 |
| NPI Number | 1649971847 |
|---|---|
| Provider Enumeration Date | 03/14/2023 |
| Last Update Date | 03/14/2023 |
| Certification Date | 03/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649971847 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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