| Healing Waters Psychotherapy, Llc | |
|
966 Hungerford Dr Ste 20a Rockville MD 20850-1741 | |
| (240) 681-5058 | |
| Not Available |
| Full Name | Healing Waters Psychotherapy, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 966 Hungerford Dr Ste 20a, Rockville, Maryland |
| Authorized Official Name and Position | Elizabeth S Henrich (OWNER) |
| Authorized Official Contact | 2406815058 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing Waters Psychotherapy, Llc 966 Hungerford Dr Ste 20a Rockville MD 20850-1741 Ph: (240) 681-5058 | Healing Waters Psychotherapy, Llc 966 Hungerford Dr Ste 20a Rockville MD 20850-1741 Ph: (240) 681-5058 |
| NPI Number | 1083100630 |
|---|---|
| Provider Enumeration Date | 07/06/2018 |
| Last Update Date | 10/11/2019 |
| Medicare PECOS PAC ID | 1355692088 |
|---|---|
| Medicare Enrollment ID | O20180919003132 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083100630 | NPI | - | NPPES |
| 600958728 | Other | MD | MAGELLAN |
| 214235000 | Medicaid | MD | |
| 4942002 | Other | MD | CIGNA |
| CL110001 | Other | MD | CAREFIRST |
| 4870243 | Other | MD | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 14919 (Maryland) | Primary |
| Provider Name | Elizabeth Henrich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922427194 PECOS PAC ID: 0446578603 Enrollment ID: I20150420000613 |
| Provider Name | Sandra Martins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700330727 PECOS PAC ID: 4385056654 Enrollment ID: I20201210000015 |
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