| New Directions Therapeutic Services Llc | |
|
9701 Apollo Dr # 100 Largo MD 20774-9998 | |
| (301) 602-7334 | |
| Not Available |
| Full Name | New Directions Therapeutic Services Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 9701 Apollo Dr # 100, Largo, Maryland |
| Authorized Official Name and Position | Janet Delores Crockett (CEO) |
| Authorized Official Contact | 3016027334 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Directions Therapeutic Services Llc 3908 Saddlebrook Ct Upper Marlboro MD 20772-3320 Ph: (301) 602-7334 | New Directions Therapeutic Services Llc 9701 Apollo Dr # 100 Largo MD 20774-9998 Ph: (301) 602-7334 |
| NPI Number | 1639628605 |
|---|---|
| Provider Enumeration Date | 09/30/2016 |
| Last Update Date | 12/11/2018 |
| Medicare PECOS PAC ID | 6507100906 |
|---|---|
| Medicare Enrollment ID | O20181211002153 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639628605 | NPI | - | NPPES |
| Provider Name | Dawit T Yaszi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639686942 PECOS PAC ID: 1052672359 Enrollment ID: I20180301001609 |
| Provider Name | Janet D Crockett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760833347 PECOS PAC ID: 7911241310 Enrollment ID: I20181211002452 |
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