| Complete Health Wellness Group Llc | |
|
815 Ritchie Hwy Ste 205 Severna Park MD 21146-4164 | |
| (443) 367-1333 | |
| Not Available |
| Full Name | Complete Health Wellness Group Llc |
|---|---|
| Speciality | Social Worker |
| Location | 815 Ritchie Hwy Ste 205, Severna Park, Maryland |
| Authorized Official Name and Position | Ryan K (MANAGER) |
| Authorized Official Contact | 4433671333 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Complete Health Wellness Group Llc 204 Saint Charles Way Unit E Box 372 York PA 17402-4646 Ph: (443) 367-1333 | Complete Health Wellness Group Llc 815 Ritchie Hwy Ste 205 Severna Park MD 21146-4164 Ph: (443) 367-1333 |
| NPI Number | 1528705530 |
|---|---|
| Provider Enumeration Date | 05/19/2022 |
| Last Update Date | 10/06/2024 |
| Certification Date | 10/06/2024 |
| Medicare PECOS PAC ID | 4789039868 |
|---|---|
| Medicare Enrollment ID | O20231010000772 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528705530 | NPI | - | NPPES |
| Provider Name | Katherine K Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235690512 PECOS PAC ID: 5294064168 Enrollment ID: I20191015000113 |
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