Metaphorward Therapy, Llc | |
1310 Saran Ct Odenton MD 21113-1642 | |
(410) 204-4092 | |
Not Available |
Full Name | Metaphorward Therapy, Llc |
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Speciality | Social Worker |
Location | 1310 Saran Ct, Odenton, Maryland |
Authorized Official Name and Position | Michelle Willis (OWNER/OPERATOR) |
Authorized Official Contact | 4435379425 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Metaphorward Therapy, Llc 1310 Saran Ct Odenton MD 21113-1642 Ph: () - | Metaphorward Therapy, Llc 1310 Saran Ct Odenton MD 21113-1642 Ph: (410) 204-4092 |
NPI Number | 1609570357 |
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Provider Enumeration Date | 03/28/2023 |
Last Update Date | 10/23/2023 |
Certification Date | 10/23/2023 |
Medicare PECOS PAC ID | 4789039207 |
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Medicare Enrollment ID | O20231018001200 |
Identifier | Type | State | Issuer |
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1609570357 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Kirsten Ashley Robinette |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1467101113 PECOS PAC ID: 3678928199 Enrollment ID: I20231018001296 |
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