| Eastern Shore Therapy, Llc | |
|
1046 Pond Neck Rd Earleville MD 21919-2342 | |
| (410) 275-1961 | |
| Not Available |
| Full Name | Eastern Shore Therapy, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1046 Pond Neck Rd, Earleville, Maryland |
| Authorized Official Name and Position | James Ronnie Russell (CEO) |
| Authorized Official Contact | 4102751961 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastern Shore Therapy, Llc 1046 Pond Neck Rd Earleville MD 21919-2342 Ph: (410) 275-1961 | Eastern Shore Therapy, Llc 1046 Pond Neck Rd Earleville MD 21919-2342 Ph: (410) 275-1961 |
| NPI Number | 1982319810 |
|---|---|
| Provider Enumeration Date | 01/16/2023 |
| Last Update Date | 01/16/2023 |
| Certification Date | 01/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982319810 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
Breeze Counseling Services Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 53 Circle Dr, Earleville, MD 21919 Phone: 410-941-6577 |