For The Healing Of The Nations Llc | |
3635 Old Court Rd Ste 305 Pikesville MD 21208-3907 | |
(443) 717-0130 | |
(443) 327-4753 |
Full Name | For The Healing Of The Nations Llc |
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Speciality | Clinic/Center |
Location | 3635 Old Court Rd Ste 305, Pikesville, Maryland |
Authorized Official Name and Position | Suzanne M Matsko (OWNER) |
Authorized Official Contact | 4437170130 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
For The Healing Of The Nations Llc 3635 Old Court Rd Ste 305 Pikesville MD 21208-3907 Ph: (443) 717-0130 | For The Healing Of The Nations Llc 3635 Old Court Rd Ste 305 Pikesville MD 21208-3907 Ph: (443) 717-0130 |
NPI Number | 1417476607 |
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Provider Enumeration Date | 09/19/2017 |
Last Update Date | 10/23/2019 |
Medicare PECOS PAC ID | 3971858762 |
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Medicare Enrollment ID | O20180619002855 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417476607 | NPI | - | NPPES |
105778200 | Medicaid | MD | |
CX87-0001 | Other | MD | CAREFIRST BLUE CROSS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Provider Name | Suzanne Matsko |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1932228608 PECOS PAC ID: 0244259364 Enrollment ID: I20051117000985 |
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