| Captive Thoughts Therapy Llc | |
|
23109 Serviceberry Dr Clarksburg MD 20871-3317 | |
| (240) 498-8025 | |
| Not Available |
| Full Name | Captive Thoughts Therapy Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 23109 Serviceberry Dr, Clarksburg, Maryland |
| Authorized Official Name and Position | Jamie West (PRACTICE CO-OWNER) |
| Authorized Official Contact | 2404988025 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Captive Thoughts Therapy Llc 1631 Wesel Blvd # 1033 Hagerstown MD 21740-5387 Ph: () - | Captive Thoughts Therapy Llc 23109 Serviceberry Dr Clarksburg MD 20871-3317 Ph: (240) 498-8025 |
| NPI Number | 1013605450 |
|---|---|
| Provider Enumeration Date | 04/25/2023 |
| Last Update Date | 04/28/2023 |
| Certification Date | 04/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013605450 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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