Wise Mind, Llc | |
90 Painters Mill Rd Ste 203 Owings Mills MD 21117-3614 | |
(410) 413-4108 | |
(410) 510-1505 |
Full Name | Wise Mind, Llc |
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Speciality | Clinic/Center |
Location | 90 Painters Mill Rd Ste 203, Owings Mills, Maryland |
Authorized Official Name and Position | Sharon T Davis (OWNER) |
Authorized Official Contact | 4104134108 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Wise Mind, Llc 90 Painters Mill Rd Ste 203 Owings Mills MD 21117-3614 Ph: (410) 413-4108 | Wise Mind, Llc 90 Painters Mill Rd Ste 203 Owings Mills MD 21117-3614 Ph: (410) 413-4108 |
NPI Number | 1275054793 |
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Provider Enumeration Date | 07/06/2017 |
Last Update Date | 01/20/2022 |
Certification Date | 01/20/2022 |
Medicare PECOS PAC ID | 9436496676 |
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Medicare Enrollment ID | O20190128000091 |
Identifier | Type | State | Issuer |
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1275054793 | NPI | - | NPPES |
Provider Name | Sharon Davis |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1902358070 PECOS PAC ID: 7517204753 Enrollment ID: I20190128000151 |
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