| Aya Behavioral Health Llc | |
|
1401 Mercantile Ln Ste 500a Largo MD 20774-4301 | |
| (202) 716-1201 | |
| Not Available |
| Full Name | Aya Behavioral Health Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1401 Mercantile Ln Ste 500a, Largo, Maryland |
| Authorized Official Name and Position | Samantha Knox (OWNER/ CLINICIAN) |
| Authorized Official Contact | 2027161201 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aya Behavioral Health Llc 1401 Mercantile Ln Ste 500a Largo MD 20774-4301 Ph: (202) 716-1201 | Aya Behavioral Health Llc 1401 Mercantile Ln Ste 500a Largo MD 20774-4301 Ph: (202) 716-1201 |
| NPI Number | 1477013258 |
|---|---|
| Provider Enumeration Date | 03/20/2019 |
| Last Update Date | 06/07/2024 |
| Certification Date | 06/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477013258 | NPI | - | NPPES |
| 1427585694 | Medicaid | DC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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