Enlighten Therapeutic & Consulting Services, Llc | |
46 Riverside Run Dr Indian Head MD 20640-2044 | |
(301) 356-3818 | |
Not Available |
Full Name | Enlighten Therapeutic & Consulting Services, Llc |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 46 Riverside Run Dr, Indian Head, Maryland |
Authorized Official Name and Position | Keyona Hall (MENTAL HEALTH THERAPIST) |
Authorized Official Contact | 3013563818 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Enlighten Therapeutic & Consulting Services, Llc 920 Palmer Rd Apt 14 Fort Washington MD 20744-4674 Ph: (301) 356-3818 | Enlighten Therapeutic & Consulting Services, Llc 46 Riverside Run Dr Indian Head MD 20640-2044 Ph: (301) 356-3818 |
NPI Number | 1043716178 |
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Provider Enumeration Date | 04/05/2018 |
Last Update Date | 05/31/2019 |
Identifier | Type | State | Issuer |
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1043716178 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Muscle House And Fitness Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4340 Indian Head Hwy, Indian Head, MD 20640 Phone: 301-684-2086 |