| Abf Mental Health Services | |
|
3214 E Joppa Rd Parkville MD 21234-3307 | |
| (443) 703-8345 | |
| (410) 305-6221 |
| Full Name | Abf Mental Health Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 3214 E Joppa Rd, Parkville, Maryland |
| Authorized Official Name and Position | Nicole S Queen (PROVIDER) |
| Authorized Official Contact | 4437038345 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Abf Mental Health Services 3214 E Joppa Rd Parkville MD 21234-3307 Ph: (443) 703-8345 | Abf Mental Health Services 3214 E Joppa Rd Parkville MD 21234-3307 Ph: (443) 703-8345 |
| NPI Number | 1952156150 |
|---|---|
| Provider Enumeration Date | 04/22/2024 |
| Last Update Date | 05/13/2024 |
| Certification Date | 05/13/2024 |
| Medicare PECOS PAC ID | 1850731381 |
|---|---|
| Medicare Enrollment ID | O20240501003001 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952156150 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Nicole S Queen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073238846 PECOS PAC ID: 0345694485 Enrollment ID: I20230925000139 |
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