| This Goes Out To You Llc | |
|
1329 Halstead Rd Parkville MD 21234-6005 | |
| (443) 290-5552 | |
| Not Available |
| Full Name | This Goes Out To You Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1329 Halstead Rd, Parkville, Maryland |
| Authorized Official Name and Position | Latoya A Stewart (CLINICIAN/ OWNER) |
| Authorized Official Contact | 4432905552 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| This Goes Out To You Llc 1329 Halstead Rd Parkville MD 21234-6005 Ph: (443) 290-5552 | This Goes Out To You Llc 1329 Halstead Rd Parkville MD 21234-6005 Ph: (443) 290-5552 |
| NPI Number | 1780393033 |
|---|---|
| Provider Enumeration Date | 11/15/2022 |
| Last Update Date | 11/15/2022 |
| Certification Date | 11/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780393033 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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