Organization
HEALING WATERS PSYCHOTHERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH S HENRICH LCSW-C (OWNER)
(240) 681-5058
Entity
Organization
Contact information
Practice address
966 HUNGERFORD DR STE 20A, ROCKVILLE, MD 20850-1741
(240) 681-5058
Mailing address
966 HUNGERFORD DR STE 20A, ROCKVILLE, MD 20850-1741
(240) 681-5058
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
14919
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
214235000
—
MD
01
—
4870243
AETNA
MD
01
—
4942002
CIGNA
MD
01
—
600958728
MAGELLAN
MD
01
—
CL110001
CAREFIRST
MD
Enumeration date
07/06/2018
Last updated
10/11/2019
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