| Etw Therapeutic & Holistic Services Llc | |
|
7305 Baltimore Ave Ste A101 College Park MD 20740-3234 | |
| (410) 824-1480 | |
| (410) 824-1482 |
| Full Name | Etw Therapeutic & Holistic Services Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 7305 Baltimore Ave Ste A101, College Park, Maryland |
| Authorized Official Name and Position | Priyanka Malhotra (CREDENTIALING DIRECTOR) |
| Authorized Official Contact | 0137718363 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Etw Therapeutic & Holistic Services Llc 7206 Shockley Ct Ft Washington MD 20744-1711 Ph: (410) 824-1480 | Etw Therapeutic & Holistic Services Llc 7305 Baltimore Ave Ste A101 College Park MD 20740-3234 Ph: (410) 824-1480 |
| NPI Number | 1083336580 |
|---|---|
| Provider Enumeration Date | 09/13/2022 |
| Last Update Date | 11/06/2024 |
| Certification Date | 11/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083336580 | NPI | - | NPPES |
| 555991000 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
Etw Therapeutic & Holistic Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7305 Baltimore Ave # A101, College Park, MD 20740 Phone: 202-743-5660 | |
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