| Djls Therapy Services Llc | |
|
14300 Gallant Fox Lane Suite 115 Bowie MD 20715 | |
| (571) 236-7012 | |
| Not Available |
| Full Name | Djls Therapy Services Llc |
|---|---|
| Speciality | Social Worker |
| Location | 14300 Gallant Fox Lane, Bowie, Maryland |
| Authorized Official Name and Position | Joy Roshawn Hart (OWNER) |
| Authorized Official Contact | 5712367012 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Djls Therapy Services Llc 9215 Deer Village Drive Laruel MD 20723 Ph: (571) 236-7012 | Djls Therapy Services Llc 14300 Gallant Fox Lane Suite 115 Bowie MD 20715 Ph: (571) 236-7012 |
| NPI Number | 1285012989 |
|---|---|
| Provider Enumeration Date | 05/13/2015 |
| Last Update Date | 07/13/2019 |
| Medicare PECOS PAC ID | 7416283189 |
|---|---|
| Medicare Enrollment ID | O20190801003340 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285012989 | NPI | - | NPPES |
| 080383900 | Medicaid | MD | |
| 365785 | Other | MD | PROVIDER TRANSACTION ACCESS NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 20142 (Maryland) | Primary |
| Provider Name | Joy R Hart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629484845 PECOS PAC ID: 3779703541 Enrollment ID: I20140929001536 |
| Provider Name | Regina Nadir |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265684179 PECOS PAC ID: 5991177560 Enrollment ID: I20230207003232 |
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