| Goodtime Family Care, P.c. | |
|
7131 Liberty Rd Ste 103 Gwynn Oak MD 21207-4580 | |
| (410) 325-5700 | |
| Not Available |
| Full Name | Goodtime Family Care, P.c. |
|---|---|
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 7131 Liberty Rd Ste 103, Gwynn Oak, Maryland |
| Authorized Official Name and Position | Ronda Herry (PRACTICE MANAGER) |
| Authorized Official Contact | 4103255700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Goodtime Family Care, P.c. 5805 Moravia Rd Baltimore MD 21206-6133 Ph: () - | Goodtime Family Care, P.c. 7131 Liberty Rd Ste 103 Gwynn Oak MD 21207-4580 Ph: (410) 325-5700 |
| NPI Number | 1295562395 |
|---|---|
| Provider Enumeration Date | 09/14/2024 |
| Last Update Date | 09/14/2024 |
| Certification Date | 09/14/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295562395 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
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