Elysian Therapeutics Llc | |
250 Englar Rd Ste 8 Westminster MD 21157-2927 | |
(443) 487-9665 | |
Not Available |
Full Name | Elysian Therapeutics Llc |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 250 Englar Rd Ste 8, Westminster, Maryland |
Authorized Official Name and Position | Krystal Lynn Kotacska (THERAPIST/OWNER) |
Authorized Official Contact | 4434876695 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Elysian Therapeutics Llc 196 Homestead Dr Hanover PA 17331-8052 Ph: (443) 487-9665 | Elysian Therapeutics Llc 250 Englar Rd Ste 8 Westminster MD 21157-2927 Ph: (443) 487-9665 |
NPI Number | 1265258461 |
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Provider Enumeration Date | 12/03/2024 |
Last Update Date | 12/03/2024 |
Certification Date | 12/03/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265258461 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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