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Organization

LIFE PSYCHOTHERAPY CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MIYA WILLIAMS (OWNER/THERAPIST)
(410) 925-8392
Entity
Organization

Contact information

Practice address
10709 BIRMINGHAM WAY, WOODSTOCK, MD 21163-1403
(410) 995-8184
Mailing address
5479 GREEN DORY LN, COLUMBIA, MD 21044-1912

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary

Other

Enumeration date
05/24/2020
Last updated
05/24/2020
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