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Organization
WHOLE FAMILY HEALING GROUP, LLC
Active
Organization
WHOLE FAMILY HEALING GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIESHA RICE LCSW-C (CLINICAL SOCIAL WORKER/OWNER)
(443) 979-3295
Entity
Organization
Contact information
Practice address
104 CHURCH LN STE 120, PIKESVILLE, MD 21208-3786
(410) 413-6043
(410) 559-6510
Mailing address
1325 BEDFORD AVE UNIT 32405, PIKESVILLE, MD 21282-7550
(443) 979-3295
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1174094593
NPPES NPI 2
MD
01
—
1598204620
NPPES NPI 1
MD
01
—
19531
CLINICAL SOCIAL WORK LICENSE NUMBER
MD
05
—
654086400
—
MD
Enumeration date
12/11/2018
Last updated
01/27/2021
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