| Divine Touch Therapeutic Counseling And Mentoring Services , Llc | |
|
107 Mountain Rd Ste D Pasadena MD 21122-7159 | |
| (240) 481-9962 | |
| Not Available |
| Full Name | Divine Touch Therapeutic Counseling And Mentoring Services , Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 107 Mountain Rd Ste D, Pasadena, Maryland |
| Authorized Official Name and Position | Boladale Wuraola Adegoroye (CLINICAL DIRECTOR) |
| Authorized Official Contact | 2404819962 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Divine Touch Therapeutic Counseling And Mentoring Services , Llc 107 Mountain Rd Ste D Pasadena MD 21122-7159 Ph: () - | Divine Touch Therapeutic Counseling And Mentoring Services , Llc 107 Mountain Rd Ste D Pasadena MD 21122-7159 Ph: (240) 481-9962 |
| NPI Number | 1386155968 |
|---|---|
| Provider Enumeration Date | 10/23/2017 |
| Last Update Date | 10/23/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386155968 | NPI | - | NPPES |
| 1155938 | Medicaid | MD |
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