| Umoja Healing Therapy Services, Llc | |
|
1705 E West Hwy Apt 202 Silver Spring MD 20910-3025 | |
| (240) 761-3638 | |
| Not Available |
| Full Name | Umoja Healing Therapy Services, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1705 E West Hwy Apt 202, Silver Spring, Maryland |
| Authorized Official Name and Position | Misty Marie Wilson (FOUNDING DIRECTOR/THERAPIST) |
| Authorized Official Contact | 2407613638 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Umoja Healing Therapy Services, Llc 1705 E West Hwy Apt 202 Silver Spring MD 20910-3025 Ph: (240) 761-3638 | Umoja Healing Therapy Services, Llc 1705 E West Hwy Apt 202 Silver Spring MD 20910-3025 Ph: (240) 761-3638 |
| NPI Number | 1528710332 |
|---|---|
| Provider Enumeration Date | 01/23/2022 |
| Last Update Date | 12/13/2022 |
| Certification Date | 12/13/2022 |
| Medicare PECOS PAC ID | 4082085550 |
|---|---|
| Medicare Enrollment ID | O20230807003826 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528710332 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Misty Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972162394 PECOS PAC ID: 5991176463 Enrollment ID: I20230807003861 |
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