| Embrace Your Light Counseling And Wellness, Llc | |
|
10999 Red Run Blvd Ste 205 #181 Owings Mills MD 21117 | |
| (443) 267-6204 | |
| Not Available |
| Full Name | Embrace Your Light Counseling And Wellness, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 10999 Red Run Blvd, Owings Mills, Maryland |
| Authorized Official Name and Position | Ebony Fowler (OWNER/PSYCHOTHERAPIST) |
| Authorized Official Contact | 4432676204 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Embrace Your Light Counseling And Wellness, Llc 10999 Red Run Blvd Ste 205 #181 Owings Mills MD 21117 Ph: (443) 267-6204 | Embrace Your Light Counseling And Wellness, Llc 10999 Red Run Blvd Ste 205 #181 Owings Mills MD 21117 Ph: (443) 267-6204 |
| NPI Number | 1023610029 |
|---|---|
| Provider Enumeration Date | 11/13/2020 |
| Last Update Date | 11/13/2020 |
| Certification Date | 11/13/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023610029 | NPI | - | NPPES |
| 1033671425 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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