| Living Changes Llc | |
|
686 208th St Pasadena MD 21122-1424 | |
| (301) 943-5207 | |
| Not Available |
| Full Name | Living Changes Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 686 208th St, Pasadena, Maryland |
| Authorized Official Name and Position | Melissa Simkin-brocato (COMPLIANCE OFFICER) |
| Authorized Official Contact | 4435178724 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Living Changes Llc 7476 Baltimore Annapolis Blvd Glen Burnie MD 21061-3542 Ph: (301) 943-5207 | Living Changes Llc 686 208th St Pasadena MD 21122-1424 Ph: (301) 943-5207 |
| NPI Number | 1700577012 |
|---|---|
| Provider Enumeration Date | 05/17/2023 |
| Last Update Date | 05/17/2023 |
| Certification Date | 05/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700577012 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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