| The Vine Christian Counseling, Llc | |
|
995 Prince Frederick Blvd Suite 209 Prince Frederick MD 20678-3198 | |
| (410) 610-6602 | |
| Not Available |
| Full Name | The Vine Christian Counseling, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 995 Prince Frederick Blvd, Prince Frederick, Maryland |
| Authorized Official Name and Position | Tamera Ireland Olson (PRESIDENT) |
| Authorized Official Contact | 4106106602 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Vine Christian Counseling, Llc 995 Prince Frederick Blvd Ste 209 Prince Frederick MD 20678-5101 Ph: (410) 610-6602 | The Vine Christian Counseling, Llc 995 Prince Frederick Blvd Suite 209 Prince Frederick MD 20678-3198 Ph: (410) 610-6602 |
| NPI Number | 1790922250 |
|---|---|
| Provider Enumeration Date | 01/20/2009 |
| Last Update Date | 01/03/2011 |
| Medicare PECOS PAC ID | 2365506987 |
|---|---|
| Medicare Enrollment ID | O20090127000309 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790922250 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 14382 (Maryland) | Primary |
| Provider Name | Tamera I Olson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053564898 PECOS PAC ID: 2769546381 Enrollment ID: I20090127000288 |
Transitions Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2004 Baythorne Rd, Prince Frederick, MD 20678 Phone: 410-231-8293 Fax: 443-342-0553 | |
Personalized Therapy, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1005 Prince Frederick Blvd Ste 102, Prince Frederick, MD 20678 Phone: 301-862-2505 Fax: 301-862-2548 | |
Project Chesapeake, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 69 Sherry Ln, Prince Frederick, MD 20678 Phone: 443-968-8331 | |
Southern Maryland Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 428 Solomons Island Rd N Ste 218, Prince Frederick, MD 20678 Phone: 301-863-5797 | |
Center For Children Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 489 Main St, Suite 202, Prince Frederick, MD 20678 Phone: 410-535-3047 Fax: 410-535-3890 | |
Advantage Psychiatric Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 493 Main St, Prince Frederick, MD 20678 Phone: 410-686-3629 Fax: 410-780-7178 | |
Utopia Health Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 65 Duke St, Prince Frederick, MD 20678 Phone: 301-220-2842 Fax: 301-220-3842 |