| Edifying Cognitive Solutions Group | |
|
15638 Livingston Rd Suite 5 Accokeek MD 20607-3333 | |
| (202) 904-6958 | |
| Not Available |
| Full Name | Edifying Cognitive Solutions Group |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 15638 Livingston Rd, Accokeek, Maryland |
| Authorized Official Name and Position | Aziz Heard (MANAGING MEMBER) |
| Authorized Official Contact | 3013277650 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edifying Cognitive Solutions Group Po Box 1929 Clinton MD 20735-6929 Ph: () - | Edifying Cognitive Solutions Group 15638 Livingston Rd Suite 5 Accokeek MD 20607-3333 Ph: (202) 904-6958 |
| NPI Number | 1346661444 |
|---|---|
| Provider Enumeration Date | 12/17/2013 |
| Last Update Date | 12/17/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346661444 | NPI | - | NPPES |
| LC3048 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LC3048 (Maryland) | Primary |
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