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Organization
SUSAN H MCHENRY
Active
Organization
SUSAN H MCHENRY
Active
Other names
Open Heart Christian Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN HENDERSON MCHENRY LCSW-C (OWNER / THERAPIST)
(301) 751-2058
Entity
Organization
Contact information
Practice address
13104 POPLAR HILL RD, WALDORF, MD 20601-2048
(301) 751-2058
(301) 632-9595
Mailing address
13104 POPLAR HILL RD, WALDORF, MD 20601-2048
(301) 751-2058
(301) 632-9595
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10508
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100089335
APS HEALTHCARE PROV NUM
MD
01
—
1133183
AETNA PROVIDER NUMBER
MD
01
—
217-64-9471
TRICARE PRIME PROV NUM
MD
01
—
217649471
TRICARE STANDARD PPO NUM
MD
01
—
2273367
CIGNA BEHAVIORAL PROV NUM
MD
01
—
239C,64703301
BCBS OF MD PROVIDER NUM
MD
01
—
371103
MHN PROVIDER NUM
MD
01
—
5677
BCBS FEDERAL PROVIDER NUM
MD
01
—
740207
NCPPO PROVIDER NUM
MD
Enumeration date
06/07/2006
Last updated
08/01/2008
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