| Breathe Freely Behavioral Health Systems, Llc | |
|
6600 Belair Rd Ste 1a1b Baltimore MD 21206-1855 | |
| (443) 300-7261 | |
| Not Available |
| Full Name | Breathe Freely Behavioral Health Systems, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 6600 Belair Rd Ste 1a1b, Baltimore, Maryland |
| Authorized Official Name and Position | Tanika Walker (CEO) |
| Authorized Official Contact | 4106709861 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Breathe Freely Behavioral Health Systems, Llc 6600 Belair Rd Baltimore MD 21206-1855 Ph: (410) 670-9861 | Breathe Freely Behavioral Health Systems, Llc 6600 Belair Rd Ste 1a1b Baltimore MD 21206-1855 Ph: (443) 300-7261 |
| NPI Number | 1407436330 |
|---|---|
| Provider Enumeration Date | 04/13/2021 |
| Last Update Date | 01/17/2023 |
| Certification Date | 01/17/2023 |
| Medicare PECOS PAC ID | 8325438005 |
|---|---|
| Medicare Enrollment ID | O20211213000959 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407436330 | NPI | - | NPPES |
| Provider Name | Christianah Olufade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225650872 PECOS PAC ID: 1254740673 Enrollment ID: I20210514000021 |
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