| Expanding Growth Couseling And Wellness, Llc | |
|
9672 Pennsylvania Ave Upper Marlboro MD 20772-3670 | |
| (301) 300-8038 | |
| (240) 823-1422 |
| Full Name | Expanding Growth Couseling And Wellness, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 9672 Pennsylvania Ave, Upper Marlboro, Maryland |
| Authorized Official Name and Position | Danielle Hatchell (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 2022109425 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Expanding Growth Couseling And Wellness, Llc 8841 Harmony Ct Owings MD 20736-9769 Ph: () - | Expanding Growth Couseling And Wellness, Llc 9672 Pennsylvania Ave Upper Marlboro MD 20772-3670 Ph: (301) 300-8038 |
| NPI Number | 1801408646 |
|---|---|
| Provider Enumeration Date | 08/22/2020 |
| Last Update Date | 08/22/2020 |
| Certification Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801408646 | NPI | - | NPPES |
| 1679757199 | Other | MD | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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