| Skyeia Holistic Services, Llc | |
|
315 Dawson Ave Ste C Oakland MD 21550-5113 | |
| (240) 321-2487 | |
| (301) 334-5922 |
| Full Name | Skyeia Holistic Services, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 315 Dawson Ave Ste C, Oakland, Maryland |
| Authorized Official Name and Position | Melisa M Carrico (CEO) |
| Authorized Official Contact | 2403212487 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Skyeia Holistic Services, Llc 1138 Eagle Rock Rd Oakland MD 21550-6825 Ph: (240) 321-2487 | Skyeia Holistic Services, Llc 315 Dawson Ave Ste C Oakland MD 21550-5113 Ph: (240) 321-2487 |
| NPI Number | 1356515167 |
|---|---|
| Provider Enumeration Date | 04/14/2008 |
| Last Update Date | 12/16/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356515167 | NPI | - | NPPES |
| 012466400 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LC1331 (Maryland) | Primary |
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