Beautifulminds Health Services Llc | |
32 Six Point Ct Windsor Mill MD 21244-2073 | |
(443) 264-1921 | |
Not Available |
Full Name | Beautifulminds Health Services Llc |
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Speciality | Clinic/Center |
Location | 32 Six Point Ct, Windsor Mill, Maryland |
Authorized Official Name and Position | Jokotola O Ayo Ajayi (DIRECTOR) |
Authorized Official Contact | 3462203534 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Beautifulminds Health Services Llc 32 Six Point Ct Windsor Mill MD 21244-2073 Ph: (443) 264-1921 | Beautifulminds Health Services Llc 32 Six Point Ct Windsor Mill MD 21244-2073 Ph: (443) 264-1921 |
NPI Number | 1780441238 |
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Provider Enumeration Date | 03/01/2024 |
Last Update Date | 06/24/2024 |
Certification Date | 06/24/2024 |
Medicare PECOS PAC ID | 6608311188 |
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Medicare Enrollment ID | O20240709001154 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780441238 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Provider Name | Jokotola Ayo Ajayi |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336863919 PECOS PAC ID: 7416306329 Enrollment ID: I20231218000242 |
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