| Illuminata Healing Arts | |
|
230 Briggs Purchase Lothian MD 20711 | |
| (443) 203-5177 | |
| (410) 257-2219 |
| Full Name | Illuminata Healing Arts |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 230 Briggs Purchase, Lothian, Maryland |
| Authorized Official Name and Position | Mary Woznysmith (OWNER) |
| Authorized Official Contact | 4432035177 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Illuminata Healing Arts 230 Briggs Purchase Lothian MD 20711 Ph: (443) 203-5177 | Illuminata Healing Arts 230 Briggs Purchase Lothian MD 20711 Ph: (443) 203-5177 |
| NPI Number | 1609168145 |
|---|---|
| Provider Enumeration Date | 05/03/2011 |
| Last Update Date | 05/03/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609168145 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 11090 (Maryland) | Primary |
Sophworks Recovery Group, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5471 Southern Maryland Blvd, #466, Lothian, MD 20711 Phone: 301-461-8675 | |
Chesapeake Behavioral Health Systems, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5471 Southern Maryland Blvd # 466, Lothian, MD 20711 Phone: 301-461-8675 |