| Advantage Psychiatric Services Llc | |
|
5024 Campbell Blvd Suite A Nottingham MD 21236-5974 | |
| (410) 686-3629 | |
| (410) 780-7178 |
| Full Name | Advantage Psychiatric Services Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5024 Campbell Blvd, Nottingham, Maryland |
| Authorized Official Name and Position | Cynthia Lynn Pixton (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 4106863629 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advantage Psychiatric Services Llc 5024 Campbell Blvd Suite A Nottingham MD 21236-5974 Ph: (410) 686-3629 | Advantage Psychiatric Services Llc 5024 Campbell Blvd Suite A Nottingham MD 21236-5974 Ph: (410) 686-3629 |
| NPI Number | 1790114056 |
|---|---|
| Provider Enumeration Date | 11/07/2013 |
| Last Update Date | 07/27/2021 |
| Certification Date | 07/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790114056 | NPI | - | NPPES |
| 4607 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 4607 (Maryland) | Primary |
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