| Amma Lucy LLC | |
|
12329 Old Canal Rd Potomac MD 20854-6225 | |
| (301) 337-5676 | |
| Not Available |
| Full Name | Amma Lucy LLC |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 12329 Old Canal Rd, Potomac, Maryland |
| Authorized Official Name and Position | Arianne Waschler (OWNER) |
| Authorized Official Contact | 3013375676 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amma Lucy LLC 12329 Old Canal Rd Potomac MD 20854-6225 Ph: (301) 337-5676 | Amma Lucy LLC 12329 Old Canal Rd Potomac MD 20854-6225 Ph: (301) 337-5676 |
| NPI Number | 1407692718 |
|---|---|
| Provider Enumeration Date | 07/05/2024 |
| Last Update Date | 07/05/2024 |
| Certification Date | 07/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407692718 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | () | Primary |
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