Mediserv | |
3137 Pine Orchard Ln Apt 202 Ellicott City MD 21042-4263 | |
(443) 418-9957 | |
Not Available |
Full Name | Mediserv |
---|---|
Speciality | Counselor - Mental Health |
Location | 3137 Pine Orchard Ln Apt 202, Ellicott City, Maryland |
Authorized Official Name and Position | Marsha P Holevas (OWNER) |
Authorized Official Contact | 4434189957 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mediserv 3137 Pine Orchard Ln Apt 202 Ellicott City MD 21042-4263 Ph: (443) 418-9957 | Mediserv 3137 Pine Orchard Ln Apt 202 Ellicott City MD 21042-4263 Ph: (443) 418-9957 |
NPI Number | 1164189866 |
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Provider Enumeration Date | 11/17/2021 |
Last Update Date | 11/22/2021 |
Certification Date | 11/22/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164189866 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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