| Life Psychotherapy Center Llc | |
|
10709 Birmingham Way Woodstock MD 21163-1403 | |
| (410) 995-8184 | |
| Not Available |
| Full Name | Life Psychotherapy Center Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 10709 Birmingham Way, Woodstock, Maryland |
| Authorized Official Name and Position | Miya Williams (OWNER/THERAPIST) |
| Authorized Official Contact | 4109258392 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Psychotherapy Center Llc 5479 Green Dory Ln Columbia MD 21044-1912 Ph: () - | Life Psychotherapy Center Llc 10709 Birmingham Way Woodstock MD 21163-1403 Ph: (410) 995-8184 |
| NPI Number | 1003439167 |
|---|---|
| Provider Enumeration Date | 05/24/2020 |
| Last Update Date | 05/24/2020 |
| Certification Date | 05/24/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003439167 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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