SKYEIA HOLISTIC SERVICES LLC NPI 1356515167

NPI Information

NPI: 1356515167
Provider Name: SKYEIA HOLISTIC SERVICES, LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
315 DAWSON AVE STE C
OAKLAND, MD
ZIP 21550
Phone: (240) 321-2487
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SKYEIA HOLISTIC SERVICES, LLC is a mental health counselor in Oakland, MD. SKYEIA HOLISTIC SERVICES, LLC NPI is 1356515167. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

315 DAWSON AVE STE C
OAKLAND, MD
ZIP 21550-113
Phone: (240) 321-2487
Fax: (301) 334-5922

The provider's authorized official is Melisa M Carrico .
The authorized official title is Ceo and has the following contact phone number (240) 321-2487.

The enumeration date for this NPI number is 4/14/2008 and was last updated on 12/16/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	LC1331	MARYLAND	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	012466400	MEDICAID	MARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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