| Open Heart Christian Counseling | |
|
13104 Poplar Hill Rd Waldorf MD 20601-2048 | |
| (301) 751-2058 | |
| (301) 632-9595 |
| Full Name | Open Heart Christian Counseling |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 13104 Poplar Hill Rd, Waldorf, Maryland |
| Authorized Official Name and Position | Susan Henderson Mchenry (OWNER / THERAPIST) |
| Authorized Official Contact | 3017512058 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Open Heart Christian Counseling 13104 Poplar Hill Rd Waldorf MD 20601-2048 Ph: (301) 751-2058 | Open Heart Christian Counseling 13104 Poplar Hill Rd Waldorf MD 20601-2048 Ph: (301) 751-2058 |
| NPI Number | 1669412177 |
|---|---|
| Provider Enumeration Date | 06/07/2006 |
| Last Update Date | 08/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669412177 | NPI | - | NPPES |
| 2273367 | Other | MD | CIGNA BEHAVIORAL PROV NUM |
| 100089335 | Other | MD | APS HEALTHCARE PROV NUM |
| 1133183 | Other | MD | AETNA PROVIDER NUMBER |
| 217-64-9471 | Other | MD | TRICARE PRIME PROV NUM |
| 371103 | Other | MD | MHN PROVIDER NUM |
| 239C,64703301 | Other | MD | BCBS OF MD PROVIDER NUM |
| 5677 | Other | MD | BCBS FEDERAL PROVIDER NUM |
| 5677 | Other | MD | BCBS OF DC PROVIDER NUM |
| 217649471 | Other | MD | TRICARE STANDARD PPO NUM |
| 740207 | Other | MD | NCPPO PROVIDER NUM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 10508 (Maryland) | Primary |
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