| Intentional Healing Space | |
|
8517 Greens Ln Windsor Mill MD 21244-1124 | |
| (410) 733-2055 | |
| Not Available |
| Full Name | Intentional Healing Space |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 8517 Greens Ln, Windsor Mill, Maryland |
| Authorized Official Name and Position | Jeremy P Darden (OWNER) |
| Authorized Official Contact | 4107332055 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Intentional Healing Space 8517 Greens Ln Windsor Mill MD 21244-1124 Ph: (410) 733-2055 | Intentional Healing Space 8517 Greens Ln Windsor Mill MD 21244-1124 Ph: (410) 733-2055 |
| NPI Number | 1972989150 |
|---|---|
| Provider Enumeration Date | 08/10/2015 |
| Last Update Date | 08/10/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972989150 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 14857 (Maryland) | Primary |
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