| Bpg Premiercare Llc | |
|
656 Quince Orchard Rd Ste 600 Gaithersburg MD 20878-1418 | |
| (301) 233-5020 | |
| Not Available |
| Full Name | Bpg Premiercare Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 656 Quince Orchard Rd Ste 600, Gaithersburg, Maryland |
| Authorized Official Name and Position | Eric Ward Bravo (OWNER, CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 3012335020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bpg Premiercare Llc 656 Quince Orchard Rd Ste 600 Gaithersburg MD 20878-1418 Ph: (301) 233-5020 | Bpg Premiercare Llc 656 Quince Orchard Rd Ste 600 Gaithersburg MD 20878-1418 Ph: (301) 233-5020 |
| NPI Number | 1083480602 |
|---|---|
| Provider Enumeration Date | 11/27/2023 |
| Last Update Date | 11/27/2023 |
| Certification Date | 11/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083480602 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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