The Phoenix Reborn Llc | |
18 Parkwind Ct Parkville MD 21234-4237 | |
(443) 840-8236 | |
Not Available |
Full Name | The Phoenix Reborn Llc |
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Speciality | Counselor - Professional |
Location | 18 Parkwind Ct, Parkville, Maryland |
Authorized Official Name and Position | Hava Leah Jarosz (THERAPIST/MEMBER) |
Authorized Official Contact | 4438408236 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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The Phoenix Reborn Llc 18 Parkwind Ct Parkville MD 21234-4237 Ph: () - | The Phoenix Reborn Llc 18 Parkwind Ct Parkville MD 21234-4237 Ph: (443) 840-8236 |
NPI Number | 1366124778 |
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Provider Enumeration Date | 08/04/2023 |
Last Update Date | 08/07/2023 |
Certification Date | 08/07/2023 |
Identifier | Type | State | Issuer |
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1366124778 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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