| Sacred Mountains Limited Liability Company | |
|
5503 43rd Ave Hyattsville MD 20781-1906 | |
| (202) 810-1624 | |
| Not Available |
| Full Name | Sacred Mountains Limited Liability Company |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 5503 43rd Ave, Hyattsville, Maryland |
| Authorized Official Name and Position | Agustin Alfonso Aguirre Herrera (OWNER) |
| Authorized Official Contact | 2028101624 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sacred Mountains Limited Liability Company 5503 43rd Ave Hyattsville MD 20781-1906 Ph: (202) 810-1624 | Sacred Mountains Limited Liability Company 5503 43rd Ave Hyattsville MD 20781-1906 Ph: (202) 810-1624 |
| NPI Number | 1669231346 |
|---|---|
| Provider Enumeration Date | 03/15/2024 |
| Last Update Date | 03/15/2024 |
| Certification Date | 03/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669231346 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Dotel Healthcare Services Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 7704 Garrison Rd, Hyattsville, MD 20784 Phone: 240-602-4164 | |
Safe Journey Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4607 69th Ave, Hyattsville, MD 20784 Phone: 301-821-1671 | |
Destined Inspirations Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5557 Baltimore Ave Ste 500-939, Hyattsville, MD 20781 Phone: 240-853-2837 | |
Breakthrough Developmental Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5416 16th Ave, Hyattsville, MD 20782 Phone: 855-255-5270 Fax: 855-513-1069 | |
Eye In Me, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5557 Baltimore Ave Ste 500-118, Hyattsville, MD 20781 Phone: 202-656-3064 | |
People Encouraging People, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 337 Brightseat Rd Ste 210, People Encouraging People, Hyattsville, MD 20785 Phone: 301-429-8950 Fax: 301-429-8959 | |
Sparkle Healing Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4328 Farragut St, Hyattsville, MD 20781 Phone: 240-685-1940 |