| Cultivating Unstoppable You, Llc | |
|
7541 Pelham Way Hanover MD 21076-1070 | |
| (443) 986-1378 | |
| Not Available |
| Full Name | Cultivating Unstoppable You, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 7541 Pelham Way, Hanover, Maryland |
| Authorized Official Name and Position | Charonne Randall (ADMINISTRATOR) |
| Authorized Official Contact | 4439861378 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cultivating Unstoppable You, Llc 7541 Pelham Way Apt Suite Hanover MD 21076-1070 Ph: (443) 986-4571 | Cultivating Unstoppable You, Llc 7541 Pelham Way Hanover MD 21076-1070 Ph: (443) 986-1378 |
| NPI Number | 1538897772 |
|---|---|
| Provider Enumeration Date | 08/14/2022 |
| Last Update Date | 08/14/2022 |
| Certification Date | 08/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538897772 | NPI | - | NPPES |
| 1780247965 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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