| Lola's Village, Llc | |
|
4502 Schenley Rd Baltimore MD 21210-2524 | |
| (443) 961-6633 | |
| Not Available |
| Full Name | Lola's Village, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 4502 Schenley Rd, Baltimore, Maryland |
| Authorized Official Name and Position | Lora Wolz (OWNER) |
| Authorized Official Contact | 3013256196 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lola's Village, Llc 4502 Schenley Rd # 100a Baltimore MD 21210-2524 Ph: (443) 961-6633 | Lola's Village, Llc 4502 Schenley Rd Baltimore MD 21210-2524 Ph: (443) 961-6633 |
| NPI Number | 1437789492 |
|---|---|
| Provider Enumeration Date | 01/17/2020 |
| Last Update Date | 01/17/2020 |
| Certification Date | 01/17/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437789492 | NPI | - | NPPES |
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