| Roots To Wings, Llc | |
|
106 E Ridgeville Blvd Ste 4 Mount Airy MD 21771-5248 | |
| (662) 889-4264 | |
| Not Available |
| Full Name | Roots To Wings, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 106 E Ridgeville Blvd Ste 4, Mount Airy, Maryland |
| Authorized Official Name and Position | Andria Palmer (OWNER/THERAPIST) |
| Authorized Official Contact | 6628894264 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roots To Wings, Llc 703 Park Ave Mount Airy MD 21771-5423 Ph: (662) 889-4264 | Roots To Wings, Llc 106 E Ridgeville Blvd Ste 4 Mount Airy MD 21771-5248 Ph: (662) 889-4264 |
| NPI Number | 1881182475 |
|---|---|
| Provider Enumeration Date | 04/29/2018 |
| Last Update Date | 04/29/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881182475 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 22113 (Maryland) | Primary |
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