| Wholistic Living, Llc | |
|
1035 Emmorton Road Bel Air MD 21014 | |
| (410) 937-1386 | |
| Not Available |
| Full Name | Wholistic Living, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1035 Emmorton Road, Bel Air, Maryland |
| Authorized Official Name and Position | Shelby J John (DIRECTOR) |
| Authorized Official Contact | 4109371386 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wholistic Living, Llc 2410 Chatau Ct Fallston MD 21047-2318 Ph: (410) 937-1386 | Wholistic Living, Llc 1035 Emmorton Road Bel Air MD 21014 Ph: (410) 937-1386 |
| NPI Number | 1891198925 |
|---|---|
| Provider Enumeration Date | 10/03/2014 |
| Last Update Date | 09/08/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891198925 | NPI | - | NPPES |
| 414765100 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 13592 (Maryland) | Primary |
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