| Elysium, Llc | |
|
210 Colgate Dr Forest Hill MD 21050-1343 | |
| (443) 243-3020 | |
| Not Available |
| Full Name | Elysium, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 210 Colgate Dr, Forest Hill, Maryland |
| Authorized Official Name and Position | Robert Bowen (OWNER) |
| Authorized Official Contact | 4432433020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elysium, Llc 210 Colgate Dr Forest Hill MD 21050-1343 Ph: (443) 243-3020 | Elysium, Llc 210 Colgate Dr Forest Hill MD 21050-1343 Ph: (443) 243-3020 |
| NPI Number | 1477318681 |
|---|---|
| Provider Enumeration Date | 02/16/2024 |
| Last Update Date | 02/16/2024 |
| Certification Date | 02/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477318681 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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