| Atlas Behavioral Health Services | |
|
3261 Old Washington Rd Ste 2020 Waldorf MD 20602-3231 | |
| (301) 960-8930 | |
| Not Available |
| Full Name | Atlas Behavioral Health Services |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 3261 Old Washington Rd Ste 2020, Waldorf, Maryland |
| Authorized Official Name and Position | Nicola Clarke Wallen (PSYCHIATRIC MENTAL HEALTH NP/OWNER) |
| Authorized Official Contact | 3019608930 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Atlas Behavioral Health Services 3261 Old Washington Rd Ste 2020 Waldorf MD 20602-3231 Ph: (301) 960-8930 | Atlas Behavioral Health Services 3261 Old Washington Rd Ste 2020 Waldorf MD 20602-3231 Ph: (301) 960-8930 |
| NPI Number | 1609490788 |
|---|---|
| Provider Enumeration Date | 06/03/2020 |
| Last Update Date | 08/27/2020 |
| Certification Date | 08/27/2020 |
| Medicare PECOS PAC ID | 8426475054 |
|---|---|
| Medicare Enrollment ID | O20200827003432 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609490788 | NPI | - | NPPES |
| Provider Name | Nicola Clarke Wallen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659413615 PECOS PAC ID: 8820423734 Enrollment ID: I20200828000015 |
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