| Healing Space Counseling | |
|
613 Ridgely Ave Annapolis MD 21401-1069 | |
| (443) 764-7490 | |
| Not Available |
| Full Name | Healing Space Counseling |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 613 Ridgely Ave, Annapolis, Maryland |
| Authorized Official Name and Position | Michele K Logan (OWNER) |
| Authorized Official Contact | 4437647490 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing Space Counseling 613 Ridgely Ave Annapolis MD 21401-1069 Ph: (443) 764-7490 | Healing Space Counseling 613 Ridgely Ave Annapolis MD 21401-1069 Ph: (443) 764-7490 |
| NPI Number | 1316652001 |
|---|---|
| Provider Enumeration Date | 01/18/2023 |
| Last Update Date | 09/06/2023 |
| Certification Date | 03/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316652001 | NPI | - | NPPES |
| 1770828089 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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