Intentional Hope And Healing | |
1216 Granada St Accokeek MD 20607-3026 | |
(571) 306-1216 | |
Not Available |
Full Name | Intentional Hope And Healing |
---|---|
Speciality | Counselor - Mental Health |
Location | 1216 Granada St, Accokeek, Maryland |
Authorized Official Name and Position | Carla Nadine Harrison (OWNER/CEO) |
Authorized Official Contact | 5713061216 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Intentional Hope And Healing 1216 Granada St Accokeek MD 20607-3026 Ph: (571) 306-1216 | Intentional Hope And Healing 1216 Granada St Accokeek MD 20607-3026 Ph: (571) 306-1216 |
NPI Number | 1578296521 |
---|---|
Provider Enumeration Date | 07/07/2022 |
Last Update Date | 07/07/2022 |
Certification Date | 07/07/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578296521 | NPI | - | NPPES |
444880400 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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