| D. E. Therapeutics, Llc | |
|
910 Marlau Dr Baltimore MD 21212-3213 | |
| (443) 608-3067 | |
| Not Available |
| Full Name | D. E. Therapeutics, Llc |
|---|---|
| Speciality | Counselor |
| Location | 910 Marlau Dr, Baltimore, Maryland |
| Authorized Official Name and Position | Deborah Ann Edmonds (OWNER) |
| Authorized Official Contact | 4436083067 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| D. E. Therapeutics, Llc 910 Marlau Dr Baltimore MD 21212-3213 Ph: (443) 608-3067 | D. E. Therapeutics, Llc 910 Marlau Dr Baltimore MD 21212-3213 Ph: (443) 608-3067 |
| NPI Number | 1700555927 |
|---|---|
| Provider Enumeration Date | 09/10/2021 |
| Last Update Date | 09/10/2021 |
| Certification Date | 09/10/2021 |
| Medicare PECOS PAC ID | 6103265079 |
|---|---|
| Medicare Enrollment ID | O20240412000018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700555927 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Deborah Ann Edmonds |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487888434 PECOS PAC ID: 2466891338 Enrollment ID: I20240412000047 |
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