Institute For Healing, Llc | |
9419 Common Brook Rd Ste 208 Owings Mills MD 21117 | |
(410) 864-0211 | |
(410) 864-0211 |
Full Name | Institute For Healing, Llc |
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Speciality | Psychologist |
Location | 9419 Common Brook Rd Ste 208, Owings Mills, Maryland |
Authorized Official Name and Position | La Keita Deneen Carter (OWNER) |
Authorized Official Contact | 4108640211 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Institute For Healing, Llc 9419 Common Brook Rd Ste 208 Owings Mills MD 21117-7570 Ph: (410) 864-0211 | Institute For Healing, Llc 9419 Common Brook Rd Ste 208 Owings Mills MD 21117 Ph: (410) 864-0211 |
NPI Number | 1629438122 |
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Provider Enumeration Date | 02/26/2016 |
Last Update Date | 03/11/2020 |
Certification Date | 03/11/2020 |
Medicare PECOS PAC ID | 9436456464 |
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Medicare Enrollment ID | O20160318000655 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629438122 | NPI | - | NPPES |
Provider Name | La Keita D Carter |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1457687659 PECOS PAC ID: 5597062521 Enrollment ID: I20160401001952 |
Provider Name | Nkiru Nonso-ekweozoh |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033893235 PECOS PAC ID: 7012357288 Enrollment ID: I20240506000054 |
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