| Green Valley Therapy, L.l.c. | |
|
4 W Main St New Market MD 21774-6290 | |
| (301) 381-4586 | |
| Not Available |
| Full Name | Green Valley Therapy, L.l.c. |
|---|---|
| Speciality | Social Worker |
| Location | 4 W Main St, New Market, Maryland |
| Authorized Official Name and Position | Sarah Giacalone (FOUNDER/THERAPIST) |
| Authorized Official Contact | 3015692519 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Green Valley Therapy, L.l.c. 4 W Main St New Market MD 21774-6290 Ph: (301) 381-4586 | Green Valley Therapy, L.l.c. 4 W Main St New Market MD 21774-6290 Ph: (301) 381-4586 |
| NPI Number | 1457069858 |
|---|---|
| Provider Enumeration Date | 11/14/2022 |
| Last Update Date | 09/13/2024 |
| Certification Date | 09/13/2024 |
| Medicare PECOS PAC ID | 1850738493 |
|---|---|
| Medicare Enrollment ID | O20240319001961 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457069858 | NPI | - | NPPES |
| Provider Name | Elina Kopic Ackley |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1699408393 PECOS PAC ID: 6901029792 Enrollment ID: I20231006002339 |
| Provider Name | Michelle Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174002489 PECOS PAC ID: 5395182653 Enrollment ID: I20240321002950 |
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