| Ananda Psychiatry And Wellness Llc | |
|
609 Kilmarnock Trl Bel Air MD 21014-2861 | |
| (443) 866-2640 | |
| Not Available |
| Full Name | Ananda Psychiatry And Wellness Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 609 Kilmarnock Trl, Bel Air, Maryland |
| Authorized Official Name and Position | Elizabeth Quill (OWNER) |
| Authorized Official Contact | 4438662640 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ananda Psychiatry And Wellness Llc Po Box 204 Warwick MD 21912-0204 Ph: () - | Ananda Psychiatry And Wellness Llc 609 Kilmarnock Trl Bel Air MD 21014-2861 Ph: (443) 866-2640 |
| NPI Number | 1023888401 |
|---|---|
| Provider Enumeration Date | 01/05/2024 |
| Last Update Date | 01/05/2024 |
| Certification Date | 01/05/2024 |
| Medicare PECOS PAC ID | 1951746429 |
|---|---|
| Medicare Enrollment ID | O20240224000233 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023888401 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Elizabeth Quill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699131755 PECOS PAC ID: 7911206693 Enrollment ID: I20160502000792 |
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