Organization
PREMIER WELLNESS HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA DICARA (OWNER)
(888) 333-1345
Entity
Organization
Contact information
Practice address
103 N MAIN ST, BEL AIR, MD 21014-3539
(888) 333-1345
(888) 653-0154
Mailing address
133 BLACK OAK TRL, DELTA, PA 17314-8756
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7635036-00
—
MD
Enumeration date
12/06/2016
Last updated
04/09/2019
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