| Blue Sky Therapy & Wellness | |
|
516 N Rolling Rd Ste 305 Catonsville MD 21228-4142 | |
| (240) 468-9546 | |
| Not Available |
| Full Name | Blue Sky Therapy & Wellness |
|---|---|
| Speciality | Social Worker |
| Location | 516 N Rolling Rd Ste 305, Catonsville, Maryland |
| Authorized Official Name and Position | Amy M Smith (OWNER) |
| Authorized Official Contact | 2404689546 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Sky Therapy & Wellness 516 N Rolling Rd Ste 305 Catonsville MD 21228-4142 Ph: (240) 468-9546 | Blue Sky Therapy & Wellness 516 N Rolling Rd Ste 305 Catonsville MD 21228-4142 Ph: (240) 468-9546 |
| NPI Number | 1093383416 |
|---|---|
| Provider Enumeration Date | 06/13/2021 |
| Last Update Date | 08/17/2021 |
| Certification Date | 08/02/2021 |
| Medicare PECOS PAC ID | 7113315698 |
|---|---|
| Medicare Enrollment ID | O20211103000188 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093383416 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Amy Marie Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861737405 PECOS PAC ID: 7214180561 Enrollment ID: I20130117000051 |
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