| Redefining Moments, LLC | |
|
1965 Greenspring Dr Ste 103 Timonium MD 21093-4137 | |
| (443) 877-9603 | |
| (443) 451-8670 |
| Full Name | Redefining Moments, LLC |
|---|---|
| Speciality | Social Worker |
| Location | 1965 Greenspring Dr Ste 103, Timonium, Maryland |
| Authorized Official Name and Position | Nekia Jones (OWNER) |
| Authorized Official Contact | 4438779603 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Redefining Moments, LLC 2131 York Rd # 1097 Timonium MD 21093-3110 Ph: (443) 877-9603 | Redefining Moments, LLC 1965 Greenspring Dr Ste 103 Timonium MD 21093-4137 Ph: (443) 877-9603 |
| NPI Number | 1144095027 |
|---|---|
| Provider Enumeration Date | 11/20/2023 |
| Last Update Date | 11/20/2023 |
| Certification Date | 11/20/2023 |
| Medicare PECOS PAC ID | 6305296369 |
|---|---|
| Medicare Enrollment ID | O20240103001966 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144095027 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (NU) | Primary |
| Provider Name | Nekia Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750979597 PECOS PAC ID: 9335552330 Enrollment ID: I20210113000047 |
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