| Make It Possible, LLC | |
|
2255 Crain Hwy Suite 202 Waldorf MD 20601 | |
| (757) 803-6399 | |
| Not Available |
| Full Name | Make It Possible, LLC |
|---|---|
| Speciality | Psychologist |
| Location | 2255 Crain Hwy, Waldorf, Maryland |
| Authorized Official Name and Position | Amarilys Galloza Carrero (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 7578036399 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Make It Possible, LLC 440 Monticello Ave Ste 1802 Pmb 936995 Norfolk VA 23510-2670 Ph: (757) 803-6399 | Make It Possible, LLC 2255 Crain Hwy Suite 202 Waldorf MD 20601 Ph: (757) 803-6399 |
| NPI Number | 1124888656 |
|---|---|
| Provider Enumeration Date | 03/21/2024 |
| Last Update Date | 03/21/2024 |
| Certification Date | 03/21/2024 |
| Medicare PECOS PAC ID | 9133665490 |
|---|---|
| Medicare Enrollment ID | O20240723001017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124888656 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (NU) | Primary |
| Provider Name | Amarilys Galloza Carrero |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558146373 PECOS PAC ID: 4789120056 Enrollment ID: I20240723001558 |
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