| Healthy Hearts Healthy Minds Therapeutic Services, Llc. | |
|
1900 E Northern Pkwy Ste 201 Baltimore MD 21239-2110 | |
| (443) 759-9706 | |
| (443) 759-9707 |
| Full Name | Healthy Hearts Healthy Minds Therapeutic Services, Llc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1900 E Northern Pkwy Ste 201, Baltimore, Maryland |
| Authorized Official Name and Position | Dante Wilson (PROGRAM DIRECTOR) |
| Authorized Official Contact | 4437599706 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthy Hearts Healthy Minds Therapeutic Services, Llc. 920 Woodson Rd Apt I Baltimore MD 21212-2876 Ph: (443) 226-6866 | Healthy Hearts Healthy Minds Therapeutic Services, Llc. 1900 E Northern Pkwy Ste 201 Baltimore MD 21239-2110 Ph: (443) 759-9706 |
| NPI Number | 1134629447 |
|---|---|
| Provider Enumeration Date | 02/14/2018 |
| Last Update Date | 02/14/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134629447 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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