Miracle-Larson, Bethany Felisa

Miracle-Larson, Bethany Felisa is an individual health care provider with primary practice located at 1208 E Churchville Rd Ste 300 , Bel Air MD 21014-3485. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Miracle-Larson, Bethany Felisa can be contacted via phone (410) 893-4600.

Contact Information

Primary practice address
1208 E Churchville Rd Ste 300 Bel Air MD 21014-3485
Phone: (410) 893-4600
Fax: (410) 995-7846
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 0704010024 Virginia

Profile Details

NPI number 1558752626
LBN Legal business name Miracle-Larson, Bethany Felisa
Credentials RESIDENT
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 11th, 2015
Last updated Feb 4th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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