| The Center For Integrative Healthcare, Llc | |
|
247 W. Patrick St Frederick MD 21701 | |
| (301) 663-1683 | |
| (301) 663-3792 |
| Full Name | The Center For Integrative Healthcare, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 247 W. Patrick St, Frederick, Maryland |
| Authorized Official Name and Position | Ethan L Bliss (OWNER/SOCIAL WORK CLINICAL) |
| Authorized Official Contact | 3015080102 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Center For Integrative Healthcare, Llc 247 W. Patrick St Frederick MD 21701 Ph: (301) 663-1683 | The Center For Integrative Healthcare, Llc 247 W. Patrick St Frederick MD 21701 Ph: (301) 663-1683 |
| NPI Number | 1952434730 |
|---|---|
| Provider Enumeration Date | 03/13/2007 |
| Last Update Date | 07/10/2020 |
| Certification Date | 07/10/2020 |
| Medicare PECOS PAC ID | 7517974256 |
|---|---|
| Medicare Enrollment ID | O20080918000544 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952434730 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Raymond R Rother |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538203773 PECOS PAC ID: 0042371007 Enrollment ID: I20081209000466 |
| Provider Name | Ethan L Bliss |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851428460 PECOS PAC ID: 8224219241 Enrollment ID: I20110224000263 |
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