| Formations Health | |
|
710 N Hammonds Ferry Rd Linthicum Heights MD 21090-1313 | |
| (410) 636-7057 | |
| Not Available |
| Full Name | Formations Health |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 710 N Hammonds Ferry Rd, Linthicum Heights, Maryland |
| Authorized Official Name and Position | Tekesha M Tyson (CEO OF FORMATIONS HEALTH) |
| Authorized Official Contact | 4438469239 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Formations Health 710 N Hammonds Ferry Rd Linthicum Heights MD 21090-1313 Ph: (410) 636-7057 | Formations Health 710 N Hammonds Ferry Rd Linthicum Heights MD 21090-1313 Ph: (410) 636-7057 |
| NPI Number | 1922852862 |
|---|---|
| Provider Enumeration Date | 04/16/2024 |
| Last Update Date | 04/16/2024 |
| Certification Date | 04/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922852862 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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