| Eisele Enterprises, Llc | |
|
1300 York Rd Bldg A Lutherville Timonium MD 21093-6016 | |
| (410) 340-6014 | |
| Not Available |
| Full Name | Eisele Enterprises, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1300 York Rd Bldg A, Lutherville Timonium, Maryland |
| Authorized Official Name and Position | Janice And David Eisele (OWNER) |
| Authorized Official Contact | 4103406014 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eisele Enterprises, Llc 1727 Western Run Rd Cockeysville MD 21030-1122 Ph: (410) 340-6014 | Eisele Enterprises, Llc 1300 York Rd Bldg A Lutherville Timonium MD 21093-6016 Ph: (410) 340-6014 |
| NPI Number | 1720713779 |
|---|---|
| Provider Enumeration Date | 07/22/2022 |
| Last Update Date | 07/22/2022 |
| Certification Date | 07/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720713779 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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