| Dxt Therapeutic Services | |
|
7610 Pennsylvania Ave Ste 301 Forestville MD 20747-4701 | |
| (240) 284-6228 | |
| (240) 470-1223 |
| Full Name | Dxt Therapeutic Services |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 7610 Pennsylvania Ave Ste 301, Forestville, Maryland |
| Authorized Official Name and Position | Michelle Hare (CEO) |
| Authorized Official Contact | 2406762895 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dxt Therapeutic Services 3314 Valley Forest Dr Upper Marlboro MD 20772-9400 Ph: (240) 676-2895 | Dxt Therapeutic Services 7610 Pennsylvania Ave Ste 301 Forestville MD 20747-4701 Ph: (240) 284-6228 |
| NPI Number | 1689199952 |
|---|---|
| Provider Enumeration Date | 08/08/2017 |
| Last Update Date | 08/22/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689199952 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LC7448 (Maryland) | Primary |
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