| Copious Life, Llc | |
|
6201 Greenbelt Rd Berwyn Heights MD 20740-2354 | |
| (202) 906-9588 | |
| Not Available |
| Full Name | Copious Life, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 6201 Greenbelt Rd, Berwyn Heights, Maryland |
| Authorized Official Name and Position | Phillip Anthony Reynolds (CEO & PRESIDENT) |
| Authorized Official Contact | 2029069588 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Copious Life, Llc Po Box 30381 Bethesda MD 20824-0381 Ph: (202) 906-9588 | Copious Life, Llc 6201 Greenbelt Rd Berwyn Heights MD 20740-2354 Ph: (202) 906-9588 |
| NPI Number | 1295038313 |
|---|---|
| Provider Enumeration Date | 12/11/2010 |
| Last Update Date | 12/11/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295038313 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 14543 (Maryland) | Primary |
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