| Divine Touch Therapeutic Counseling And Mentoring Services,, Llc | |
|
768 Duvall Hwy Pasadena MD 21122-1620 | |
| (240) 481-9962 | |
| Not Available |
| Full Name | Divine Touch Therapeutic Counseling And Mentoring Services,, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 768 Duvall Hwy, Pasadena, Maryland |
| Authorized Official Name and Position | Boladale Wuraola Adegoroye (THERAPIST) |
| 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 Po Box 444 Pasadena MD 21123-0444 Ph: (240) 481-9962 | Divine Touch Therapeutic Counseling And Mentoring Services,, Llc 768 Duvall Hwy Pasadena MD 21122-1620 Ph: (240) 481-9962 |
| NPI Number | 1669911038 |
|---|---|
| Provider Enumeration Date | 02/18/2017 |
| Last Update Date | 02/18/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669911038 | NPI | - | NPPES |
| 115593800 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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