Organization
PUSH BEYOND WELLNESS SERVICES, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NINA ANTOINETTE ROBINSON LCSW-C (OWNER)
(443) 633-6442
Entity
Organization
Contact information
Practice address
6061 OTTERBEIN LN APT 305, ELLICOTT CITY, MD 21043-7615
(443) 633-6442
Mailing address
6061 OTTERBEIN LN APT 305, ELLICOTT CITY, MD 21043-7615
(443) 633-6442
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/18/2025
Last updated
02/18/2025
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