| Embodied Trust, Llc | |
|
5802 Phoenix Dr Bethesda MD 20817-3402 | |
| (202) 599-7791 | |
| Not Available |
| Full Name | Embodied Trust, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 5802 Phoenix Dr, Bethesda, Maryland |
| Authorized Official Name and Position | Junko Araki (OWNER) |
| Authorized Official Contact | 2025997791 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Embodied Trust, Llc 11160 Veirs Mill Rd. Ste Llh18 #426 Wheaton MD 20902 Ph: (202) 599-7791 | Embodied Trust, Llc 5802 Phoenix Dr Bethesda MD 20817-3402 Ph: (202) 599-7791 |
| NPI Number | 1386497147 |
|---|---|
| Provider Enumeration Date | 04/10/2024 |
| Last Update Date | 04/10/2024 |
| Certification Date | 04/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386497147 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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