| Healing Sources Llc | |
|
7007 Plymouth Rd Pikesville MD 21208-6023 | |
| (301) 503-5696 | |
| Not Available |
| Full Name | Healing Sources Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 7007 Plymouth Rd, Pikesville, Maryland |
| Authorized Official Name and Position | Carmen Miles Davis (PRESIDENT) |
| Authorized Official Contact | 3015035696 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing Sources Llc 7007 Plymouth Rd Pikesville MD 21208-6023 Ph: (301) 503-5696 | Healing Sources Llc 7007 Plymouth Rd Pikesville MD 21208-6023 Ph: (301) 503-5696 |
| NPI Number | 1528509270 |
|---|---|
| Provider Enumeration Date | 03/14/2017 |
| Last Update Date | 03/14/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528509270 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 14803 (Maryland) | Primary |
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