Prosperity Redefined Llc in Pikesville - Clinical
Prosperity Redefined Llc - NPI 1174708382
Prosperity Redefined Llc is a Clinical in Pikesville, Maryland. Prosperity Redefined Llc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Prosperity Redefined Llc is 1174708382. The last update date is 2008-01-07.
Prosperity Redefined Llc's current location address is 3701 Old Court Rd, Pikesville, Maryland. You can contact this provider via phone number 4104846070 and fax number 4104843166. The mailing address for Prosperity Redefined Llc is 3701 Old Court Rd, Pikesville, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Prosperity Redefined Llc |
|---|---|
| Address | 3701 Old Court Rd, Pikesville, Maryland |
| Phone Number | 4104846070 |
| Fax Number | 4104843166 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Brown-Bushrod Michelle Dionne |
| Credentials | LCSW-C |
| Telephone Number | 4104846070 |
NPI Number Detail
| NPI Number | 1174708382 |
|---|---|
| Provider Enumeration Date | 2008-01-07 |
| Last Updated Date | 2008-01-07 |
Provider Mailing Address Detail
| Address | 3701 Old Court Rd |
|---|---|
| City | Pikesville |
| State | Maryland (MD) |
| Post Code | 212083909 |
| Phone Number | 4104846070 |
| Fax Number | 4104843166 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 9133 |
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What is the unique identifier code issued to Prosperity Redefined Llc by the Centers for Medicare & Medicaid Services?
The Prosperity Redefined Llc has been assigned the NPI (National Provider Identifier) 1174708382. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Prosperity Redefined Llc is physically located?
The Prosperity Redefined Llc is physically situated at the following address: 3701 Old Court Rd, Pikesville, MD, 212083909.
What is Prosperity Redefined Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Prosperity Redefined Llc is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1174708382 to Prosperity Redefined Llc?
The Prosperity Redefined Llc received its 1174708382 assignment from the Centers for Medicare & Medicaid Services on 2008-01-07.
When was the Prosperity Redefined Llc's information last updated?
The Prosperity Redefined Llc's information was last updated on 2008-01-07.
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