Advanced Psychiatric Wellness Center Llc | |
1 Research Ct Ste 450 Rockville MD 20850-6252 | |
(240) 403-4068 | |
(240) 238-6084 |
Full Name | Advanced Psychiatric Wellness Center Llc |
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Speciality | Psychiatry & Neurology |
Location | 1 Research Ct Ste 450, Rockville, Maryland |
Authorized Official Name and Position | Veronica Morton (OWNER/NURSE PRACTITIONER) |
Authorized Official Contact | 2404034068 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Advanced Psychiatric Wellness Center Llc Po Box 3635 Frederick MD 21705-3635 Ph: (240) 403-4068 | Advanced Psychiatric Wellness Center Llc 1 Research Ct Ste 450 Rockville MD 20850-6252 Ph: (240) 403-4068 |
NPI Number | 1679101976 |
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Provider Enumeration Date | 03/31/2020 |
Last Update Date | 06/29/2021 |
Certification Date | 06/29/2021 |
Medicare PECOS PAC ID | 0749601441 |
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Medicare Enrollment ID | O20200604002982 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679101976 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Provider Name | Veronica D Morton |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699049460 PECOS PAC ID: 2062671274 Enrollment ID: I20200604002955 |
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