| Straight From The Heart Ministry Counseling Service, Llc | |
|
3208 Water Lily Ct Laurel MD 20724-2996 | |
| (301) 807-6415 | |
| Not Available |
| Full Name | Straight From The Heart Ministry Counseling Service, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 3208 Water Lily Ct, Laurel, Maryland |
| Authorized Official Name and Position | Donna Farley (THERAPIST) |
| Authorized Official Contact | 3018076415 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Straight From The Heart Ministry Counseling Service, Llc 3208 Water Lily Ct Laurel MD 20724-2996 Ph: (301) 807-6415 | Straight From The Heart Ministry Counseling Service, Llc 3208 Water Lily Ct Laurel MD 20724-2996 Ph: (301) 807-6415 |
| NPI Number | 1114500204 |
|---|---|
| Provider Enumeration Date | 05/05/2021 |
| Last Update Date | 05/05/2021 |
| Certification Date | 04/29/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114500204 | NPI | - | NPPES |
| 193680800 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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