Push Beyond Wellness Services, Llc.
NPI #1194520536 in Ellicott City, Maryland
Provider Information
- NPI Number
- 1194520536
- Entity Type
- Organization
- Organization Name
- Push Beyond Wellness Services, Llc.
- Primary Specialty
- Clinic/Center - Mental Health (Including Community Mental Health Center)
- Enumeration Date
- Feb 18, 2025
- Last Updated
- Feb 18, 2025
Practice Location
- Address
- 6061 OTTERBEIN LN APT 305
- City
- Ellicott City
- State
- Maryland
- ZIP Code
- 21043-7615
- Phone
- (443) 633-6442
Authorized Official
- Name
- NINA ANTOINETTE ROBINSON, LCSW-C
- Title
- OWNER
- Phone
- (443) 633-6442
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
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