| Power Llc | |
|
4316 Seidel Ave Baltimore MD 21206-6429 | |
| (443) 208-2031 | |
| Not Available |
| Full Name | Power Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 4316 Seidel Ave, Baltimore, Maryland |
| Authorized Official Name and Position | Noelle G. Johnson (PSYCHOTHERAPIST) |
| Authorized Official Contact | 4102404174 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Power Llc 4316 Seidel Ave Baltimore MD 21206-6429 Ph: (410) 240-4174 | Power Llc 4316 Seidel Ave Baltimore MD 21206-6429 Ph: (443) 208-2031 |
| NPI Number | 1922754639 |
|---|---|
| Provider Enumeration Date | 02/22/2022 |
| Last Update Date | 06/21/2023 |
| Certification Date | 06/21/2023 |
| Medicare PECOS PAC ID | 3072955848 |
|---|---|
| Medicare Enrollment ID | O20240524000317 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922754639 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Noelle G Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366198061 PECOS PAC ID: 4981046752 Enrollment ID: I20240524000421 |
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