| Alfa Psychiatric And Mental Health Services Llc | |
|
6495 New Hampshire Ave Ste B180 Hyattsville MD 20783-3245 | |
| (240) 643-2842 | |
| Not Available |
| Full Name | Alfa Psychiatric And Mental Health Services Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 6495 New Hampshire Ave Ste B180, Hyattsville, Maryland |
| Authorized Official Name and Position | Benedette Nnaji-aniekwe (OWNER) |
| Authorized Official Contact | 2406432842 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alfa Psychiatric And Mental Health Services Llc 6717 Piney Branch Rd Nw Washington DC 20012-2519 Ph: (240) 643-2842 | Alfa Psychiatric And Mental Health Services Llc 6495 New Hampshire Ave Ste B180 Hyattsville MD 20783-3245 Ph: (240) 643-2842 |
| NPI Number | 1497331276 |
|---|---|
| Provider Enumeration Date | 03/22/2021 |
| Last Update Date | 04/29/2022 |
| Certification Date | 04/29/2022 |
| Medicare PECOS PAC ID | 2668881905 |
|---|---|
| Medicare Enrollment ID | O20210517002052 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497331276 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Benedette C Nnaji-aniekwe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538533773 PECOS PAC ID: 2860780509 Enrollment ID: I20161012000397 |
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