Organization
ELYSIAN THERAPEUTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRYSTAL LYNN KOTACSKA (THERAPIST/OWNER)
(443) 487-6695
Entity
Organization
Contact information
Practice address
250 ENGLAR RD STE 8, WESTMINSTER, MD 21157-2927
(443) 487-9665
Mailing address
196 HOMESTEAD DR, HANOVER, PA 17331-8052
(443) 487-9665
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/03/2024
Last updated
12/03/2024
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