| Therapy Stop Llc | |
|
145 W Ostend St Ste 618 Baltimore MD 21230-3764 | |
| (443) 872-5725 | |
| (410) 800-2875 |
| Full Name | Therapy Stop Llc |
|---|---|
| Speciality | Social Worker |
| Location | 145 W Ostend St Ste 618, Baltimore, Maryland |
| Authorized Official Name and Position | Julia Ann Mitchell (OWNER/ CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 4435578725 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapy Stop Llc 609 S Sharp Strret Baltimore MD 21230-0075 Ph: (443) 557-8725 | Therapy Stop Llc 145 W Ostend St Ste 618 Baltimore MD 21230-3764 Ph: (443) 872-5725 |
| NPI Number | 1407203730 |
|---|---|
| Provider Enumeration Date | 05/17/2016 |
| Last Update Date | 06/20/2024 |
| Certification Date | 06/20/2024 |
| Medicare PECOS PAC ID | 1355632456 |
|---|---|
| Medicare Enrollment ID | O20160621001282 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407203730 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 17309 (Massachusetts) | Primary |
| Provider Name | Julia A Mitchell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588082770 PECOS PAC ID: 6507183837 Enrollment ID: I20150326000818 |
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