| Free Mind Integrated Services Llc | |
|
9718 Poling Ter Fort Washington MD 20744-3970 | |
| (202) 677-9732 | |
| (470) 705-9700 |
| Full Name | Free Mind Integrated Services Llc |
|---|---|
| Speciality | Counselor |
| Location | 9718 Poling Ter, Fort Washington, Maryland |
| Authorized Official Name and Position | Stacey Michelle Rowe (OWNER) |
| Authorized Official Contact | 2026779732 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Free Mind Integrated Services Llc 9718 Poling Ter Fort Washington MD 20744-3970 Ph: (202) 677-9732 | Free Mind Integrated Services Llc 9718 Poling Ter Fort Washington MD 20744-3970 Ph: (202) 677-9732 |
| NPI Number | 1093432403 |
|---|---|
| Provider Enumeration Date | 10/26/2022 |
| Last Update Date | 03/29/2023 |
| Certification Date | 03/29/2023 |
| Medicare PECOS PAC ID | 4688045354 |
|---|---|
| Medicare Enrollment ID | O20240409003070 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093432403 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Stacey Michelle Rowe |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083213433 PECOS PAC ID: 0042681710 Enrollment ID: I20240410000074 |
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