| Coral Life Strategies, Llc | |
|
7908 Custer Rd Bethesda MD 20814-1348 | |
| (301) 327-1801 | |
| Not Available |
| Full Name | Coral Life Strategies, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 7908 Custer Rd, Bethesda, Maryland |
| Authorized Official Name and Position | Catherine Mccallum (FOUNDER) |
| Authorized Official Contact | 3013271801 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Coral Life Strategies, Llc 7908 Custer Rd Bethesda MD 20814-1348 Ph: (301) 327-1801 | Coral Life Strategies, Llc 7908 Custer Rd Bethesda MD 20814-1348 Ph: (301) 327-1801 |
| NPI Number | 1316571417 |
|---|---|
| Provider Enumeration Date | 02/27/2020 |
| Last Update Date | 02/27/2020 |
| Certification Date | 02/27/2020 |
| Medicare PECOS PAC ID | 2567892151 |
|---|---|
| Medicare Enrollment ID | O20200422002259 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316571417 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Catherine Benton Mccallum |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902437742 PECOS PAC ID: 3476983065 Enrollment ID: I20200422002353 |
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