| Reaching For Resilience Llc | |
|
6502 Baltimore Ave Dundalk MD 21222-4001 | |
| (443) 420-8542 | |
| Not Available |
| Full Name | Reaching For Resilience Llc |
|---|---|
| Speciality | Social Worker |
| Location | 6502 Baltimore Ave, Dundalk, Maryland |
| Authorized Official Name and Position | Tiffany Kay Hudak (LCSWC) |
| Authorized Official Contact | 4102693631 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Reaching For Resilience Llc 6502 Baltimore Ave Dundalk MD 21222-4001 Ph: (410) 269-3631 | Reaching For Resilience Llc 6502 Baltimore Ave Dundalk MD 21222-4001 Ph: (443) 420-8542 |
| NPI Number | 1154199172 |
|---|---|
| Provider Enumeration Date | 12/19/2023 |
| Last Update Date | 12/19/2023 |
| Certification Date | 12/19/2023 |
| Medicare PECOS PAC ID | 1254873425 |
|---|---|
| Medicare Enrollment ID | O20240604001965 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154199172 | NPI | - | NPPES |
| Provider Name | Tiffany Hudak |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801553615 PECOS PAC ID: 1850833021 Enrollment ID: I20240604002391 |
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