| New Chapter Counseling: Adult And Senior Mental Health Service, Llc | |
|
13809 Grey Colt Dr North Potomac MD 20878-3865 | |
| (512) 569-9030 | |
| Not Available |
| Full Name | New Chapter Counseling: Adult And Senior Mental Health Service, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 13809 Grey Colt Dr, North Potomac, Maryland |
| Authorized Official Name and Position | Irene Mednick (OWNER) |
| Authorized Official Contact | 5125699030 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Chapter Counseling: Adult And Senior Mental Health Service, Llc 13809 Grey Colt Dr North Potomac MD 20878-3865 Ph: (512) 569-9030 | New Chapter Counseling: Adult And Senior Mental Health Service, Llc 13809 Grey Colt Dr North Potomac MD 20878-3865 Ph: (512) 569-9030 |
| NPI Number | 1669109807 |
|---|---|
| Provider Enumeration Date | 08/08/2022 |
| Last Update Date | 08/08/2022 |
| Certification Date | 08/08/2022 |
| Medicare PECOS PAC ID | 2466837372 |
|---|---|
| Medicare Enrollment ID | O20220913002946 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669109807 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Provider Name | Irene M Mednick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174628846 PECOS PAC ID: 0840299483 Enrollment ID: I20120130000651 |
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