Gemini Health Holdings LLC

NPI #1487280152 in Elkridge, Maryland

Provider Information

NPI Number: 1487280152
Entity Type: Organization
Organization Name: Gemini Health Holdings LLC
Primary Specialty: Psychologist - Addiction (Substance Use Disorder)
Enumeration Date: Mar 13, 2020
Last Updated: Mar 13, 2020

Practice Location

Address: 6816 DEERPATH RD
Address 2: SUITE 201 AND 107
City: Elkridge
State: Maryland
ZIP Code: 21075
Phone: (301) 703-8767

Authorized Official

Name: STACI POWELL, DO
Title: BILLING MANAGER
Phone: (301) 703-8767

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X
Clinic/Center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) — Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)	261QR0401X
Psychologist - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	103TA0400X	Primary

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