Quietude Healing Collaborative LLC
Counselor, Mental Health in Riverdale, MD. Organization (NPI-2).
NPI number1124831276
StatusActive
Last updated in NPPESFeb 6, 2025
Details
- NPI
- 1124831276
- Entity type
- Organization (NPI-2)
- Legal business name
- Quietude Healing Collaborative LLC
- Organization subpart
- No
- Enumeration date
- Jan 30, 2025
- Certification date
- Feb 6, 2025
- Last updated
- Feb 6, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Other names
- Quietude Healing Collaborative (Doing Business As)
Practice location
5716 66th AveRiverdale, MD 20737-1712
Phone 571-290-8578
Mailing address
5716 66th AveRiverdale, MD 20737-1712
Phone 571-290-8578
Authorized official
Andrea Oliver
Clinical Mental Health Therapist
2404719914
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