| The Green Garden, Llc | |
|
10635 York Rd Fl 2 Cockeysville MD 21030-2357 | |
| (410) 635-1013 | |
| Not Available |
| Full Name | The Green Garden, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 10635 York Rd Fl 2, Cockeysville, Maryland |
| Authorized Official Name and Position | Chona Green (PSYCHOLOGIST) |
| Authorized Official Contact | 4434545446 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Green Garden, Llc 11 Lindsey Ct Essex MD 21221-3355 Ph: (443) 454-5446 | The Green Garden, Llc 10635 York Rd Fl 2 Cockeysville MD 21030-2357 Ph: (410) 635-1013 |
| NPI Number | 1609475979 |
|---|---|
| Provider Enumeration Date | 10/19/2020 |
| Last Update Date | 10/19/2020 |
| Certification Date | 10/19/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609475979 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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