| Unleashing Potential Llc | |
|
11100 Liberty Rd Ste G Randallstown MD 21133-1054 | |
| (443) 831-7989 | |
| Not Available |
| Full Name | Unleashing Potential Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 11100 Liberty Rd Ste G, Randallstown, Maryland |
| Authorized Official Name and Position | Tarin Ligens (FOUNDER) |
| Authorized Official Contact | 4104198738 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Unleashing Potential Llc 11100 Liberty Rd Ste G Randallstown MD 21133-1054 Ph: (410) 419-8738 | Unleashing Potential Llc 11100 Liberty Rd Ste G Randallstown MD 21133-1054 Ph: (443) 831-7989 |
| NPI Number | 1902378680 |
|---|---|
| Provider Enumeration Date | 12/19/2018 |
| Last Update Date | 06/03/2024 |
| Certification Date | 06/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902378680 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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