| Blooming Orchids Clinical Services Llc | |
|
2327 Brooke Grove Rd Mitchellville MD 20721-1860 | |
| (202) 681-4078 | |
| Not Available |
| Full Name | Blooming Orchids Clinical Services Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2327 Brooke Grove Rd, Mitchellville, Maryland |
| Authorized Official Name and Position | Olufolake Ogunyemi (OWNER) |
| Authorized Official Contact | 2026814078 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blooming Orchids Clinical Services Llc 12138 Central Ave Ste 674 Mitchellville MD 20721-1910 Ph: (202) 681-4078 | Blooming Orchids Clinical Services Llc 2327 Brooke Grove Rd Mitchellville MD 20721-1860 Ph: (202) 681-4078 |
| NPI Number | 1447847827 |
|---|---|
| Provider Enumeration Date | 12/31/2020 |
| Last Update Date | 12/31/2020 |
| Certification Date | 12/31/2020 |
| Medicare PECOS PAC ID | 0143633388 |
|---|---|
| Medicare Enrollment ID | O20210108000260 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447847827 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Olufolake Ogunyemi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831658327 PECOS PAC ID: 2961815105 Enrollment ID: I20210108000293 |
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