| Willow Grove Therapy Llc | |
|
808 Regester Ave Idlewylde MD 21239-1345 | |
| (443) 356-6165 | |
| Not Available |
| Full Name | Willow Grove Therapy Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 808 Regester Ave, Idlewylde, Maryland |
| Authorized Official Name and Position | Kristen Chmielewski (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 4433566165 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Willow Grove Therapy Llc 808 Regester Ave Idlewylde MD 21239-1345 Ph: (443) 356-6165 | Willow Grove Therapy Llc 808 Regester Ave Idlewylde MD 21239-1345 Ph: (443) 356-6165 |
| NPI Number | 1750159778 |
|---|---|
| Provider Enumeration Date | 12/19/2023 |
| Last Update Date | 12/19/2023 |
| Certification Date | 12/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750159778 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Valid Wellness Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6508 Banbury Rd, Idlewylde, MD 21239 Phone: 410-913-0432 |