Sola Gratia Counseling Center Llc | |
13850 Fir Tree Ln Cumberland MD 21502-5959 | |
(240) 301-3052 | |
Not Available |
Full Name | Sola Gratia Counseling Center Llc |
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Speciality | Counselor |
Location | 13850 Fir Tree Ln, Cumberland, Maryland |
Authorized Official Name and Position | Christine Haines (OWNER) |
Authorized Official Contact | 3016974975 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Sola Gratia Counseling Center Llc 13850 Fir Tree Ln Cumberland MD 21502-5959 Ph: () - | Sola Gratia Counseling Center Llc 13850 Fir Tree Ln Cumberland MD 21502-5959 Ph: (240) 301-3052 |
NPI Number | 1225819055 |
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Provider Enumeration Date | 10/09/2023 |
Last Update Date | 10/09/2023 |
Certification Date | 10/09/2023 |
Medicare PECOS PAC ID | 3971955188 |
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Medicare Enrollment ID | O20240123002798 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225819055 | NPI | - | NPPES |
Provider Name | Christine Haines |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1760984447 PECOS PAC ID: 4587929849 Enrollment ID: I20180607001990 |
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