Maryland Wellness Psychotherapy, Llc | |
110 N Washington St Ste 200-15 Rockville MD 20850-2223 | |
(301) 661-1375 | |
Not Available |
Full Name | Maryland Wellness Psychotherapy, Llc |
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Speciality | Social Worker - Clinical |
Location | 110 N Washington St Ste 200-15, Rockville, Maryland |
Authorized Official Name and Position | Daniel P Macy (MANAGING MEMBER) |
Authorized Official Contact | 3016611375 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Maryland Wellness Psychotherapy, Llc 6005 Bryn Mawr Ave Glen Echo MD 20812-1101 Ph: (301) 661-1375 | Maryland Wellness Psychotherapy, Llc 110 N Washington St Ste 200-15 Rockville MD 20850-2223 Ph: (301) 661-1375 |
NPI Number | 1295585214 |
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Provider Enumeration Date | 03/25/2024 |
Last Update Date | 05/07/2024 |
Certification Date | 05/07/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295585214 | NPI | - | NPPES |
1407021777 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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