| Sunshines Purpose | |
|
4930 Walking Stick Rd Ellicott City MD 21043-8038 | |
| (203) 585-3262 | |
| Not Available |
| Full Name | Sunshines Purpose |
|---|---|
| Speciality | Social Worker |
| Location | 4930 Walking Stick Rd, Ellicott City, Maryland |
| Authorized Official Name and Position | Atesha Nashell Woods (CEO/FOUNDER) |
| Authorized Official Contact | 2035853262 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunshines Purpose 10045 Baltimore National Pike Unit A7 #561 Ellicott City MD 21042-8038 Ph: (203) 585-3262 | Sunshines Purpose 4930 Walking Stick Rd Ellicott City MD 21043-8038 Ph: (203) 585-3262 |
| NPI Number | 1205475779 |
|---|---|
| Provider Enumeration Date | 01/02/2020 |
| Last Update Date | 12/05/2023 |
| Certification Date | 12/05/2023 |
| Medicare PECOS PAC ID | 3072982990 |
|---|---|
| Medicare Enrollment ID | O20221214003071 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205475779 | NPI | - | NPPES |
| 916536 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Atesha Woods |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427202530 PECOS PAC ID: 5395174536 Enrollment ID: I20200409000330 |
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