Organization
SPECIAL HANDS OUTREACH, LLC
Active
Other names
Special Hands outreach
Organization subpart
No
Provider details
NPI number
Authorized official
SYREETA MOODY LCPC (CEO)
(443) 256-5290
Entity
Organization
Contact information
Practice address
13603 KINGS ISLE CT, BOWIE, MD 20721-4237
(301) 821-3324
Mailing address
13603 KINGS ISLE CT, BOWIE, MD 20721-4237
(301) 821-3324
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
725174200
—
MD
Enumeration date
01/26/2024
Last updated
03/07/2025
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