Benedict C Ijomah, LCSW-C | |
4607 69th Ave, Hyattsville, MD 20784-2123 | |
(301) 386-0014 | |
(301) 386-0018 |
Full Name | Benedict C Ijomah |
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Gender | Male |
Speciality | Counselor - Mental Health |
Location | 4607 69th Ave, Hyattsville, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083911762 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 09832 (Maryland) | Primary |
Entity Name | Aspire Behvioral Healthcare, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063195949 PECOS PAC ID: 2264878024 Enrollment ID: O20240314003385 |
Mailing Address | Practice Location Address |
---|---|
Benedict C Ijomah, LCSW-C 4607 69th Ave, Hyattsville, MD 20784-2123 Ph: (301) 386-0014 | Benedict C Ijomah, LCSW-C 4607 69th Ave, Hyattsville, MD 20784-2123 Ph: (301) 386-0014 |
Valentine Bin Wung, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3996 Warner Ave Apt A6, Hyattsville, MD 20784 Phone: 202-597-3644 | |
David Gerard Wilson, CAC-AD Counselor Medicare: Not Enrolled in Medicare Practice Location: 1802 Brightseat Rd, Hyattsville, MD 20785 Phone: 301-742-5623 | |
Levicia Karishma Henry, LGPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1802 Brightseat Rd, Hyattsville, MD 20785 Phone: 240-249-0989 | |
Mr. Gene Groves Jr., Counselor Medicare: Not Enrolled in Medicare Practice Location: 7050 Chesapeake Rd Ste 104, Hyattsville, MD 20784 Phone: 240-770-7204 Fax: 866-635-2959 | |
Mr. Charles Thomas Jr., Counselor Medicare: Not Enrolled in Medicare Practice Location: 3505 Hubbard Rd Apt T2, Hyattsville, MD 20785 Phone: 202-763-1827 | |
Hope Yvonne Brown, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3350 Toledo Ter Apt 260, Hyattsville, MD 20782 Phone: 202-808-1737 |