| Maryland Wellness And Recovery, Llc | |
|
43 Summit Ave Hagerstown MD 21740-5522 | |
| (240) 242-4225 | |
| Not Available |
| Full Name | Maryland Wellness And Recovery, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 43 Summit Ave, Hagerstown, Maryland |
| Authorized Official Name and Position | Sahar Geramifar (OWNER/EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2402424225 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Maryland Wellness And Recovery, Llc 43 Summit Ave Hagerstown MD 21740-5522 Ph: () - | Maryland Wellness And Recovery, Llc 43 Summit Ave Hagerstown MD 21740-5522 Ph: (240) 242-4225 |
| NPI Number | 1528899747 |
|---|---|
| Provider Enumeration Date | 08/09/2024 |
| Last Update Date | 08/09/2024 |
| Certification Date | 08/09/2024 |
| Medicare PECOS PAC ID | 8022456441 |
|---|---|
| Medicare Enrollment ID | O20241210004007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528899747 | NPI | - | NPPES |
| Provider Name | Zachari Leazier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639897994 PECOS PAC ID: 9335512136 Enrollment ID: I20230227000026 |
| Provider Name | Vivien Mary Buvawala |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366095952 PECOS PAC ID: 6103284609 Enrollment ID: I20230615000394 |
| Provider Name | Anntana Brown |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013672997 PECOS PAC ID: 5890138804 Enrollment ID: I20240207000525 |
| Provider Name | Amie Kotz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699013912 PECOS PAC ID: 9335672690 Enrollment ID: I20250522000743 |
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