| Healing Empowering Rebuilding, Llc | |
|
7115 Macon St Frederick MD 21703-7385 | |
| (240) 678-3072 | |
| Not Available |
| Full Name | Healing Empowering Rebuilding, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 7115 Macon St, Frederick, Maryland |
| Authorized Official Name and Position | Ebony Tagua Hidie Maynard (THERAPIST) |
| Authorized Official Contact | 2406783072 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing Empowering Rebuilding, Llc 7115 Macon St Frederick MD 21703-7385 Ph: (240) 678-3072 | Healing Empowering Rebuilding, Llc 7115 Macon St Frederick MD 21703-7385 Ph: (240) 678-3072 |
| NPI Number | 1538892716 |
|---|---|
| Provider Enumeration Date | 07/06/2022 |
| Last Update Date | 07/06/2022 |
| Certification Date | 07/06/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538892716 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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