MEDICARE: RHEMA DIAGNOSTIC AND MINDFULNESS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1225884935
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RHEMA DIAGNOSTIC AND MINDFULNESS

Provider Business Mailing Address
First Line	:	1701 WALKUS CT
Second Line	:
City	:	DISTRICT HEIGHTS
State	:	MD
Zip	:	20747-1892
Country	:	US
Telephone Number	:	301-785-8865
Fax Number	:

Provider Business Practice Location Address
First Line	:	7822 PARSTON DR
Second Line	:
City	:	DISTRICT HEIGHTS
State	:	MD
Zip	:	20747-4424
Country	:	US
Telephone Number	:	301-785-8865
Fax Number	:	301-420-1476

Authorized Official
Title or Position	:	CEO
Name	:	RICHARD D MOORE
Credential	:	LCPC
Telephone Number	:	301-785-8865

Provider Enumeration Date	:	04/24/2024
Last Update Date	:	04/24/2024

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Directions to “RHEMA DIAGNOSTIC AND MINDFULNESS ” Practice Location

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