| Whole Family Healing Group, Llc | |
|
104 Church Ln Ste 120 Pikesville MD 21208-3786 | |
| (410) 413-6043 | |
| (410) 559-6510 |
| Full Name | Whole Family Healing Group, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 104 Church Ln Ste 120, Pikesville, Maryland |
| Authorized Official Name and Position | Miesha Rice (CLINICAL SOCIAL WORKER/OWNER) |
| Authorized Official Contact | 4439793295 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Whole Family Healing Group, Llc 1325 Bedford Ave Unit 32405 Pikesville MD 21282-7550 Ph: (443) 979-3295 | Whole Family Healing Group, Llc 104 Church Ln Ste 120 Pikesville MD 21208-3786 Ph: (410) 413-6043 |
| NPI Number | 1174094593 |
|---|---|
| Provider Enumeration Date | 12/11/2018 |
| Last Update Date | 01/27/2021 |
| Certification Date | 01/27/2021 |
| Medicare PECOS PAC ID | 4789001827 |
|---|---|
| Medicare Enrollment ID | O20200903000914 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174094593 | NPI | - | NPPES |
| 654086400 | Medicaid | MD | |
| 1174094593 | Other | MD | NPPES NPI 2 |
| 1598204620 | Other | MD | NPPES NPI 1 |
| 19531 | Other | MD | CLINICAL SOCIAL WORK LICENSE NUMBER |
| Provider Name | Miesha Lynette Rice |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598204620 PECOS PAC ID: 5698192730 Enrollment ID: I20200903001172 |
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