| Holistic, Re-education, & Empowering Serices, Llc | |
|
2305 Fairhaven Lane Crofton MD 21114 | |
| (202) 540-0718 | |
| Not Available |
| Full Name | Holistic, Re-education, & Empowering Serices, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2305 Fairhaven Lane, Crofton, Maryland |
| Authorized Official Name and Position | Tracy D Davis (OWNER, MENTAL HEALTH THERAPIST) |
| Authorized Official Contact | 2025400718 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Holistic, Re-education, & Empowering Serices, Llc 2305 Fairhaven Lane Crofton MD 21114 Ph: (202) 540-0718 | Holistic, Re-education, & Empowering Serices, Llc 2305 Fairhaven Lane Crofton MD 21114 Ph: (202) 540-0718 |
| NPI Number | 1093250474 |
|---|---|
| Provider Enumeration Date | 12/21/2016 |
| Last Update Date | 12/21/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093250474 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LC7042 (Maryland) | Primary |
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