| Transformative Healing And Wellness | |
|
9505 Reisterstown Rd # 3nw Owings Mills MD 21117-4451 | |
| (443) 940-5550 | |
| (410) 504-8244 |
| Full Name | Transformative Healing And Wellness |
|---|---|
| Speciality | Social Worker |
| Location | 9505 Reisterstown Rd # 3nw, Owings Mills, Maryland |
| Authorized Official Name and Position | Julie Jeanette Greene (OWNER) |
| Authorized Official Contact | 4439292272 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Transformative Healing And Wellness Po Box 1047 Owings Mills MD 21117-1015 Ph: (443) 929-2272 | Transformative Healing And Wellness 9505 Reisterstown Rd # 3nw Owings Mills MD 21117-4451 Ph: (443) 940-5550 |
| NPI Number | 1164163747 |
|---|---|
| Provider Enumeration Date | 04/06/2022 |
| Last Update Date | 04/26/2023 |
| Certification Date | 04/26/2023 |
| Medicare PECOS PAC ID | 0840677399 |
|---|---|
| Medicare Enrollment ID | O20220523000508 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164163747 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Julie Jeanette Greene |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912410085 PECOS PAC ID: 1759768203 Enrollment ID: I20220527000763 |
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