| Jennifer Hilton Therapy, Llc | |
|
10015 Old Columbia Rd Ste B215 Columbia MD 21046-1865 | |
| (410) 925-8893 | |
| Not Available |
| Full Name | Jennifer Hilton Therapy, Llc |
|---|---|
| Speciality | Counselor |
| Location | 10015 Old Columbia Rd Ste B215, Columbia, Maryland |
| Authorized Official Name and Position | Jennifer Hilton (SOLE MEMBER) |
| Authorized Official Contact | 4109217575 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Hilton Therapy, Llc 10430 Shaker Dr Ste 200 Columbia MD 21046-2336 Ph: (410) 921-7575 | Jennifer Hilton Therapy, Llc 10015 Old Columbia Rd Ste B215 Columbia MD 21046-1865 Ph: (410) 925-8893 |
| NPI Number | 1710456637 |
|---|---|
| Provider Enumeration Date | 11/20/2018 |
| Last Update Date | 03/03/2021 |
| Certification Date | 02/28/2021 |
| Medicare PECOS PAC ID | 7214305093 |
|---|---|
| Medicare Enrollment ID | O20221129001541 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710456637 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Laura R Gershen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912219718 PECOS PAC ID: 6901194653 Enrollment ID: I20161012000593 |
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