| Push Beyond Wellness Services, Llc. | |
|
6061 Otterbein Ln Apt 305 Ellicott City MD 21043-7615 | |
| (443) 633-6442 | |
| Not Available |
| Full Name | Push Beyond Wellness Services, Llc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 6061 Otterbein Ln Apt 305, Ellicott City, Maryland |
| Authorized Official Name and Position | Nina Antoinette Robinson (OWNER) |
| Authorized Official Contact | 4436336442 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Push Beyond Wellness Services, Llc. 6061 Otterbein Ln Apt 305 Ellicott City MD 21043-7615 Ph: (443) 633-6442 | Push Beyond Wellness Services, Llc. 6061 Otterbein Ln Apt 305 Ellicott City MD 21043-7615 Ph: (443) 633-6442 |
| NPI Number | 1194520536 |
|---|---|
| Provider Enumeration Date | 02/18/2025 |
| Last Update Date | 02/18/2025 |
| Certification Date | 02/18/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194520536 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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