Coastal Health & Wellness, Llc | |
5530 Bonnie Brook Rd Cambridge MD 21613-3436 | |
(443) 521-2580 | |
Not Available |
Full Name | Coastal Health & Wellness, Llc |
---|---|
Speciality | Social Worker - Clinical |
Location | 5530 Bonnie Brook Rd, Cambridge, Maryland |
Authorized Official Name and Position | Lori Powley (OWNER) |
Authorized Official Contact | 4435212580 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Coastal Health & Wellness, Llc Po Box 512 Cambridge MD 21613-0512 Ph: (443) 521-2580 | Coastal Health & Wellness, Llc 5530 Bonnie Brook Rd Cambridge MD 21613-3436 Ph: (443) 521-2580 |
NPI Number | 1437738440 |
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Provider Enumeration Date | 04/06/2021 |
Last Update Date | 04/06/2021 |
Certification Date | 04/06/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437738440 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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