| Growth Connections Llc | |
|
1400 Mercantile Ln Suite 260 Largo MD 20774-5341 | |
| (202) 802-0859 | |
| Not Available |
| Full Name | Growth Connections Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1400 Mercantile Ln, Largo, Maryland |
| Authorized Official Name and Position | Shirelle Denise Wright (PSYCHOTHERAPIST) |
| Authorized Official Contact | 2028020859 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Growth Connections Llc 1055 Catesby Ter Hyattsville MD 20785-5989 Ph: () - | Growth Connections Llc 1400 Mercantile Ln Suite 260 Largo MD 20774-5341 Ph: (202) 802-0859 |
| NPI Number | 1699229021 |
|---|---|
| Provider Enumeration Date | 08/15/2016 |
| Last Update Date | 08/15/2016 |
| Medicare PECOS PAC ID | 8123308194 |
|---|---|
| Medicare Enrollment ID | O20161212000004 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699229021 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 17933 (Maryland) | Primary |
| Provider Name | Shirelle D Wright |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164884151 PECOS PAC ID: 1759661721 Enrollment ID: I20161208001589 |
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