| My Village Therapeutic Services, Llc | |
|
802 N Fulton Ave Baltimore MD 21217-1425 | |
| (443) 885-0287 | |
| Not Available |
| Full Name | My Village Therapeutic Services, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 802 N Fulton Ave, Baltimore, Maryland |
| Authorized Official Name and Position | Shanae Gardner (FOUNDER/CEO/THERAPIST) |
| Authorized Official Contact | 4438850287 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| My Village Therapeutic Services, Llc 802 N Fulton Ave Baltimore MD 21217-1425 Ph: () - | My Village Therapeutic Services, Llc 802 N Fulton Ave Baltimore MD 21217-1425 Ph: (443) 885-0287 |
| NPI Number | 1518642792 |
|---|---|
| Provider Enumeration Date | 06/16/2023 |
| Last Update Date | 07/17/2023 |
| Certification Date | 07/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518642792 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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