| Prestige Therapy & Consulting Group, Llc | |
|
609 Market St Pocomoke City MD 21851-1141 | |
| (757) 392-7387 | |
| Not Available |
| Full Name | Prestige Therapy & Consulting Group, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 609 Market St, Pocomoke City, Maryland |
| Authorized Official Name and Position | Shelonda Townsend (OWNER) |
| Authorized Official Contact | 4436142445 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prestige Therapy & Consulting Group, Llc 609 Market St Pocomoke City MD 21851-1141 Ph: (443) 614-2445 | Prestige Therapy & Consulting Group, Llc 609 Market St Pocomoke City MD 21851-1141 Ph: (757) 392-7387 |
| NPI Number | 1700664240 |
|---|---|
| Provider Enumeration Date | 09/18/2023 |
| Last Update Date | 11/29/2023 |
| Certification Date | 11/29/2023 |
| Medicare PECOS PAC ID | 4284084286 |
|---|---|
| Medicare Enrollment ID | O20240102004117 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700664240 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Shelonda Townsend |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710605621 PECOS PAC ID: 1254709553 Enrollment ID: I20240102004144 |
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