| All Things Simple, LLC | |
|
1625 Riedel Rd Crofton MD 21114-1614 | |
| (301) 928-9694 | |
| Not Available |
| Full Name | All Things Simple, LLC |
|---|---|
| Speciality | Counselor |
| Location | 1625 Riedel Rd, Crofton, Maryland |
| Authorized Official Name and Position | Michele Coakley (OWNER/ CEO) |
| Authorized Official Contact | 2404169527 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| All Things Simple, LLC 1625 Riedel Rd Crofton MD 21114-1614 Ph: (240) 416-9527 | All Things Simple, LLC 1625 Riedel Rd Crofton MD 21114-1614 Ph: (301) 928-9694 |
| NPI Number | 1275393142 |
|---|---|
| Provider Enumeration Date | 03/19/2024 |
| Last Update Date | 04/25/2024 |
| Certification Date | 04/25/2024 |
| Medicare PECOS PAC ID | 3274075312 |
|---|---|
| Medicare Enrollment ID | O20240605000615 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275393142 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (NU) | Primary |
| Provider Name | Michele Coakley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841605391 PECOS PAC ID: 0244772382 Enrollment ID: I20240716000212 |
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