| Optimal Life Therapy, Llc | |
|
707 Southern Lights Dr Aberdeen MD 21001-1249 | |
| (410) 870-9884 | |
| (410) 670-4046 |
| Full Name | Optimal Life Therapy, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 707 Southern Lights Dr, Aberdeen, Maryland |
| Authorized Official Name and Position | Sabrina Bryant (OWNER) |
| Authorized Official Contact | 4109371733 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Optimal Life Therapy, Llc 707 Southern Lights Dr Aberdeen MD 21001-1249 Ph: (410) 937-1733 | Optimal Life Therapy, Llc 707 Southern Lights Dr Aberdeen MD 21001-1249 Ph: (410) 870-9884 |
| NPI Number | 1457063653 |
|---|---|
| Provider Enumeration Date | 12/19/2022 |
| Last Update Date | 12/19/2022 |
| Certification Date | 12/19/2022 |
| Medicare PECOS PAC ID | 1153764337 |
|---|---|
| Medicare Enrollment ID | O20240205001439 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457063653 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Sabrina Levell Bryant |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720484900 PECOS PAC ID: 0143528455 Enrollment ID: I20160419001993 |
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