| The Indigo Child Therapeutic Llc | |
|
7491 Old Alexandria Ferry Rd Clinton MD 20735-1834 | |
| (240) 244-9778 | |
| (240) 269-7799 |
| Full Name | The Indigo Child Therapeutic Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 7491 Old Alexandria Ferry Rd, Clinton, Maryland |
| Authorized Official Name and Position | Tiffany Dicks (OWNER) |
| Authorized Official Contact | 2402449778 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Indigo Child Therapeutic Llc 9722 Green Apple Turn Upper Marlboro MD 20772-4423 Ph: (240) 244-9778 | The Indigo Child Therapeutic Llc 7491 Old Alexandria Ferry Rd Clinton MD 20735-1834 Ph: (240) 244-9778 |
| NPI Number | 1386235323 |
|---|---|
| Provider Enumeration Date | 02/02/2021 |
| Last Update Date | 10/22/2024 |
| Certification Date | 10/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386235323 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
Mind Over Matter Health Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7700 Old Branch Ave, B204, Clinton, MD 20735 Phone: 301-868-0849 | |
Southern Maryland Hospital, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7503 Surratts Road, Clinton, MD 20735 Phone: 301-870-7001 Fax: 301-870-6697 | |
Maryland Oncology Hematology, P.a. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8926 Woodyard Rd Ste 101, Clinton, MD 20735 Phone: 301-812-3900 Fax: 301-868-2285 | |
Metro Behavioral Health Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7700 Old Branch Ave, Clinton, MD 20735 Phone: 703-629-5768 | |
Inspirational Mental Health Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7700 Old Branch Ave Ste B201, Clinton, MD 20735 Phone: 240-755-4095 | |
Standard Healthcare Plus Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9135 Piscataway Rd Ste 410, Clinton, MD 20735 Phone: 240-643-1063 | |
Standard Healthcare Plus Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9135 Piscataway Rd Ste 410, Clinton, MD 20735 Phone: 240-643-1063 |