Organization
OPEN HEARTS THERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAGAIL JEANEAN WILSON LCMFT (OWNER)
(301) 637-2792
Entity
Organization
Contact information
Practice address
15717 CRABBS BRANCH WAY, ROCKVILLE, MD 20855-6650
(301) 637-2792
(844) 375-0213
Mailing address
17604 PHELPS HILL LN, DERWOOD, MD 20855-1358
(913) 963-7133
(844) 375-0213
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/18/2020
Last updated
02/18/2020
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