| Intentional Hope And Healing | |
|
1216 Granada St Accokeek MD 20607-3026 | |
| (571) 306-1216 | |
| Not Available |
| Full Name | Intentional Hope And Healing |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1216 Granada St, Accokeek, Maryland |
| Authorized Official Name and Position | Carla Nadine Harrison (OWNER/CEO) |
| Authorized Official Contact | 5713061216 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Intentional Hope And Healing 1216 Granada St Accokeek MD 20607-3026 Ph: (571) 306-1216 | Intentional Hope And Healing 1216 Granada St Accokeek MD 20607-3026 Ph: (571) 306-1216 |
| NPI Number | 1578296521 |
|---|---|
| Provider Enumeration Date | 07/07/2022 |
| Last Update Date | 07/07/2022 |
| Certification Date | 07/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578296521 | NPI | - | NPPES |
| 444880400 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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