| Creative Mind Therapy | |
|
12419 Dorsey Ln Upper Marlboro MD 20772 | |
| (240) 596-9735 | |
| Not Available |
| Full Name | Creative Mind Therapy |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 12419 Dorsey Ln, Upper Marlboro, Maryland |
| Authorized Official Name and Position | Mariama K Deen (CEO) |
| Authorized Official Contact | 2405969735 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creative Mind Therapy 12419 Dorsey Ln Upper Marlboro MD 20772 Ph: (240) 596-9735 | Creative Mind Therapy 12419 Dorsey Ln Upper Marlboro MD 20772 Ph: (240) 596-9735 |
| NPI Number | 1730790221 |
|---|---|
| Provider Enumeration Date | 08/10/2020 |
| Last Update Date | 08/10/2020 |
| Certification Date | 08/10/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730790221 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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