| Faith And Healing Counseling Llc | |
|
6716 Flying Squirrel Ct Waldorf MD 20603-4332 | |
| (240) 356-1001 | |
| Not Available |
| Full Name | Faith And Healing Counseling Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 6716 Flying Squirrel Ct, Waldorf, Maryland |
| Authorized Official Name and Position | Keesha Vines (OWNER) |
| Authorized Official Contact | 2403561001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Faith And Healing Counseling Llc 1282 Smallwood Dr W Waldorf MD 20603-4732 Ph: (240) 356-1001 | Faith And Healing Counseling Llc 6716 Flying Squirrel Ct Waldorf MD 20603-4332 Ph: (240) 356-1001 |
| NPI Number | 1548840440 |
|---|---|
| Provider Enumeration Date | 04/13/2021 |
| Last Update Date | 07/16/2021 |
| Certification Date | 05/03/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548840440 | NPI | - | NPPES |
| 873320100 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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