| Redeemed Innocence Llc | |
|
9701 Apollo Dr Ste 100 Largo MD 20774-4785 | |
| (301) 412-4343 | |
| Not Available |
| Full Name | Redeemed Innocence Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 9701 Apollo Dr Ste 100, Largo, Maryland |
| Authorized Official Name and Position | Brooke Janet Beander (OWNER) |
| Authorized Official Contact | 3014124343 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Redeemed Innocence Llc 12138 Central Ave # 673 Mitchellville MD 20721-1910 Ph: (301) 412-4343 | Redeemed Innocence Llc 9701 Apollo Dr Ste 100 Largo MD 20774-4785 Ph: (301) 412-4343 |
| NPI Number | 1669093027 |
|---|---|
| Provider Enumeration Date | 04/27/2020 |
| Last Update Date | 07/20/2020 |
| Certification Date | 07/20/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669093027 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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