| Boundless Innovations For Holistic Living | |
|
4104 Colby Rd Pikesville MD 21208-5305 | |
| (240) 527-1402 | |
| Not Available |
| Full Name | Boundless Innovations For Holistic Living |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4104 Colby Rd, Pikesville, Maryland |
| Authorized Official Name and Position | Monika Cope (CHIEF OPERATIONS OFFICER) |
| Authorized Official Contact | 2405271402 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boundless Innovations For Holistic Living 4104 Colby Rd Pikesville MD 21208-5305 Ph: (240) 527-1402 | Boundless Innovations For Holistic Living 4104 Colby Rd Pikesville MD 21208-5305 Ph: (240) 527-1402 |
| NPI Number | 1063653491 |
|---|---|
| Provider Enumeration Date | 03/14/2009 |
| Last Update Date | 03/14/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063653491 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LC2058 (Maryland) | Secondary |
| 1041C0700X | Social Worker - Clinical | 14239 (Maryland) | Primary |
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