Healing Waters Psychotherapy, Llc | |
966 Hungerford Dr Ste 20a Rockville MD 20850-1741 | |
(240) 681-5058 | |
Not Available |
Full Name | Healing Waters Psychotherapy, Llc |
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Speciality | Social Worker |
Location | 966 Hungerford Dr Ste 20a, Rockville, Maryland |
Authorized Official Name and Position | Elizabeth S Henrich (OWNER) |
Authorized Official Contact | 2406815058 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Healing Waters Psychotherapy, Llc 966 Hungerford Dr Ste 20a Rockville MD 20850-1741 Ph: (240) 681-5058 | Healing Waters Psychotherapy, Llc 966 Hungerford Dr Ste 20a Rockville MD 20850-1741 Ph: (240) 681-5058 |
NPI Number | 1083100630 |
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Provider Enumeration Date | 07/06/2018 |
Last Update Date | 10/11/2019 |
Medicare PECOS PAC ID | 1355692088 |
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Medicare Enrollment ID | O20180919003132 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083100630 | NPI | - | NPPES |
600958728 | Other | MD | MAGELLAN |
214235000 | Medicaid | MD | |
4942002 | Other | MD | CIGNA |
CL110001 | Other | MD | CAREFIRST |
4870243 | Other | MD | AETNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 14919 (Maryland) | Primary |
Provider Name | Elizabeth Henrich |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1922427194 PECOS PAC ID: 0446578603 Enrollment ID: I20150420000613 |
Provider Name | Sandra Martins |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1700330727 PECOS PAC ID: 4385056654 Enrollment ID: I20201210000015 |
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