Bluntly Coached, Llc | |
11779 Somerset Ave Ste 12 Princess Anne MD 21853-1271 | |
(443) 754-2164 | |
(866) 993-1076 |
Full Name | Bluntly Coached, Llc |
---|---|
Speciality | Social Worker |
Location | 11779 Somerset Ave Ste 12, Princess Anne, Maryland |
Authorized Official Name and Position | Ganiyat Badmus (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 4437542164 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Bluntly Coached, Llc 11779 Somerset Ave Ste 12 Princess Anne MD 21853-1271 Ph: (443) 754-2164 | Bluntly Coached, Llc 11779 Somerset Ave Ste 12 Princess Anne MD 21853-1271 Ph: (443) 754-2164 |
NPI Number | 1831657956 |
---|---|
Provider Enumeration Date | 03/07/2019 |
Last Update Date | 01/09/2020 |
Certification Date | 01/09/2020 |
Medicare PECOS PAC ID | 0749510428 |
---|---|
Medicare Enrollment ID | O20190923002548 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831657956 | NPI | - | NPPES |
302168800 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Ganiyat Halle Badmus |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1073891263 PECOS PAC ID: 1658601331 Enrollment ID: I20190925002264 |
Bluntly Coached, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 30435 Mount Vernon Rd, Princess Anne, MD 21853 Phone: 443-754-2164 | |
Chesapeake Health Care Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12145 Elm Street, Princess Anne, MD 21853 Phone: 410-651-2204 Fax: 410-651-0790 | |
Go-getters, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11559 Somerset Ave, Princess Anne, MD 21853 Phone: 410-651-1547 | |
Community Behavioral Health, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 30519 Prince William St, Princess Anne, MD 21853 Phone: 844-224-5264 Fax: 888-509-0010 | |
Lower Shore Clinic, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11559 Somerset Ave, Princess Anne, MD 21853 Phone: 410-341-3420 | |
Wraparound Maryland, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12123 Somerset Ave, Princess Anne, MD 21853 Phone: 667-400-7774 | |
Eastern Shore Psychological Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11120 Somerset Ave, Princess Anne, MD 21853 Phone: 410-651-4200 Fax: 410-651-4291 |