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11785 Beltsville Dr Ste 120 Calverton MD 20705-3121 | |
| (240) 389-1487 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Counselor |
| Location | 11785 Beltsville Dr Ste 120, Calverton, Maryland |
| Authorized Official Name and Position | Shauna Moore Reynolds (OWNER, DIRECTOR) |
| Authorized Official Contact | 2403891487 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 275 Burtonsville MD 20866-0275 Ph: (240) 389-1487 | 11785 Beltsville Dr Ste 120 Calverton MD 20705-3121 Ph: (240) 389-1487 |
| NPI Number | 1508205295 |
|---|---|
| Provider Enumeration Date | 06/17/2013 |
| Last Update Date | 02/16/2024 |
| Certification Date | 02/16/2024 |
| Medicare PECOS PAC ID | 9133662604 |
|---|---|
| Medicare Enrollment ID | O20240625002321 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508205295 | NPI | - | NPPES |
| 0647632P0000 | Medicaid | MD | |
| 889048000 | Medicaid | MD |
| Provider Name | Shauna Moore Reynolds |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477809119 PECOS PAC ID: 0042753519 Enrollment ID: I20240625002503 |
Adoptions Together Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4061 Powder Mill Rd, Suite 320, Calverton, MD 20705 Phone: 301-439-2900 Fax: 301-937-2147 |