| Request Therapy Llc | |
|
16623 Heartwood Dr Rockville MD 20855-1625 | |
| (202) 765-3131 | |
| Not Available |
| Full Name | Request Therapy Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 16623 Heartwood Dr, Rockville, Maryland |
| Authorized Official Name and Position | Jimmy Ibikunle (CEO) |
| Authorized Official Contact | 2027653131 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Request Therapy Llc 16623 Heartwood Dr Rockville MD 20855-1625 Ph: (202) 765-3131 | Request Therapy Llc 16623 Heartwood Dr Rockville MD 20855-1625 Ph: (202) 765-3131 |
| NPI Number | 1275100554 |
|---|---|
| Provider Enumeration Date | 06/07/2021 |
| Last Update Date | 06/07/2021 |
| Certification Date | 05/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275100554 | NPI | - | NPPES |
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