Copious Life, LLC
Organization Active NPI Clinical Social Worker · Berwyn Heights, MD
NPI 1295038313 · NPPES record last updated Dec 11, 2010
Key facts
- NPI
- 1295038313
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 14543 (MD)
- Legal business name
- COPIOUS LIFE, LLC
- Practice address
- 6201 Greenbelt Rd
Berwyn Heights, MD 20740-2354 - Phone
- (202) 906-9588
- NPI assigned
- Dec 11, 2010
- Organization subpart
- No
Authorized official
- Name
- Mr. Phillip Anthony Reynolds, LCSW-C
- Title
- Ceo & President
- Phone
- (202) 906-9588
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | 14543 | MD | Yes |
Addresses
Primary practice location
6201 Greenbelt Rd
Berwyn Heights, MD 20740-2354
Mailing address
PO Box 30381
Bethesda, MD 20824-0381
Phone (202) 906-9588
Other providers in Berwyn Heights, MD
- Chuntung Changchien
- Cherished Hands Behavioral Health Center
- Chuntung Changchien MD PA
- Leroy Ellis Cohen
- Community Outreach Services, Inc.
- Monica Lorraine Cross
- Akbar Dawood
- Margaret Delaney
- Tsega Demmeke
- Dr. Kattie Khadar, PC
All providers in Berwyn Heights, MD · Clinical Social Worker in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 11, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.