| Action Mental Health Inc | |
|
706 E Gude Dr Unit A Room 2 Rockville MD 20850-8317 | |
| (240) 490-0176 | |
| Not Available |
| Full Name | Action Mental Health Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 706 E Gude Dr Unit A Room 2, Rockville, Maryland |
| Authorized Official Name and Position | Habtamu Techane Tigabu (CEO) |
| Authorized Official Contact | 2404900176 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Action Mental Health Inc 10 Snug Hill Ct Potomac MD 20854-4053 Ph: (240) 490-0176 | Action Mental Health Inc 706 E Gude Dr Unit A Room 2 Rockville MD 20850-8317 Ph: (240) 490-0176 |
| NPI Number | 1033995287 |
|---|---|
| Provider Enumeration Date | 09/05/2023 |
| Last Update Date | 01/27/2025 |
| Certification Date | 01/27/2025 |
| Medicare PECOS PAC ID | 9537533161 |
|---|---|
| Medicare Enrollment ID | O20230323000154 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033995287 | NPI | - | NPPES |
| Provider Name | Habtamu Techane Tigabu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134621170 PECOS PAC ID: 7719351345 Enrollment ID: I20230323000144 |
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