Outside The Lines Counseling Llc | |
22 W Padonia Road Suite A203 Lutherville MD 21093-2277 | |
(410) 245-9722 | |
Not Available |
Full Name | Outside The Lines Counseling Llc |
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Speciality | Social Worker |
Location | 22 W Padonia Road, Lutherville, Maryland |
Authorized Official Name and Position | Amy Heilman (THERAPIST) |
Authorized Official Contact | 4102459722 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Outside The Lines Counseling Llc 1204 Dublin Court Lutherville MD 21093-2277 Ph: (410) 245-9722 | Outside The Lines Counseling Llc 22 W Padonia Road Suite A203 Lutherville MD 21093-2277 Ph: (410) 245-9722 |
NPI Number | 1780131383 |
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Provider Enumeration Date | 09/01/2016 |
Last Update Date | 09/10/2016 |
Medicare PECOS PAC ID | 0143516633 |
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Medicare Enrollment ID | O20160909000671 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780131383 | NPI | - | NPPES |
1063790848 | Other | MD | NPI |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | 11825 (Maryland) | Primary |
Provider Name | Amy J Heilman |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1063790848 PECOS PAC ID: 7012233794 Enrollment ID: I20150225000661 |
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