Full Circle Therapy Services Llc | |
4404 Queensbury Rd Suite 105 Riverdale MD 20737-1068 | |
(301) 971-4096 | |
Not Available |
Full Name | Full Circle Therapy Services Llc |
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Speciality | Social Worker |
Location | 4404 Queensbury Rd, Riverdale, Maryland |
Authorized Official Name and Position | Sonia Ross (FOUNDER/CEO) |
Authorized Official Contact | 3019714096 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Full Circle Therapy Services Llc 7764 Mandan Rd Greenbelt MD 20770-2167 Ph: (301) 971-4096 | Full Circle Therapy Services Llc 4404 Queensbury Rd Suite 105 Riverdale MD 20737-1068 Ph: (301) 971-4096 |
NPI Number | 1780127167 |
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Provider Enumeration Date | 12/02/2016 |
Last Update Date | 12/02/2016 |
Medicare PECOS PAC ID | 9335418805 |
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Medicare Enrollment ID | O20170627002420 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780127167 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LC50080214 (District Of Columbia) | Primary |
Provider Name | Sonia A Ross |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1891150751 PECOS PAC ID: 8123397692 Enrollment ID: I20170627002585 |
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