| A New Leaf Therapy, Llc | |
|
2911 Olney Sandy Spring Rd Ste A Olney MD 20832-3506 | |
| (202) 487-8450 | |
| (443) 692-2170 |
| Full Name | A New Leaf Therapy, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2911 Olney Sandy Spring Rd Ste A, Olney, Maryland |
| Authorized Official Name and Position | Grace Irene Nyblade (OWNER) |
| Authorized Official Contact | 2024878450 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A New Leaf Therapy, Llc 6597 Quiet Hours Apartment 202 Columbia MD 21045-4943 Ph: (202) 487-8450 | A New Leaf Therapy, Llc 2911 Olney Sandy Spring Rd Ste A Olney MD 20832-3506 Ph: (202) 487-8450 |
| NPI Number | 1831636364 |
|---|---|
| Provider Enumeration Date | 01/23/2017 |
| Last Update Date | 01/23/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831636364 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 13961 (Maryland) | Primary |
| 1041C0700X | Social Worker - Clinical | 18412 (Maryland) | Secondary |
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