| Greenspace Counseling | |
|
6950 W Moose Ridge Cir Wasilla AK 99623-9888 | |
| (443) 766-2269 | |
| (907) 416-4542 |
| Full Name | Greenspace Counseling |
|---|---|
| Speciality | Social Worker |
| Location | 6950 W Moose Ridge Cir, Wasilla, Alaska |
| Authorized Official Name and Position | Paris P Taylor (OWNER) |
| Authorized Official Contact | 4433557030 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Greenspace Counseling 10630 Little Patuxent Pkwy Ste 314j Columbia MD 21044-6216 Ph: (443) 766-2269 | Greenspace Counseling 6950 W Moose Ridge Cir Wasilla AK 99623-9888 Ph: (443) 766-2269 |
| NPI Number | 1376123778 |
|---|---|
| Provider Enumeration Date | 04/09/2021 |
| Last Update Date | 08/23/2024 |
| Certification Date | 08/23/2024 |
| Medicare PECOS PAC ID | 8426453606 |
|---|---|
| Medicare Enrollment ID | O20210826000983 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376123778 | NPI | - | NPPES |
| 1588606305 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Paris Taylor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003301755 PECOS PAC ID: 9436565769 Enrollment ID: I20210310001797 |
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