Clarity Psychiatric Wellness Llc | |
100 West Rd Suite #300 Towson MD 21204 | |
(410) 322-5739 | |
Not Available |
Full Name | Clarity Psychiatric Wellness Llc |
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Speciality | Clinic/Center |
Location | 100 West Rd, Towson, Maryland |
Authorized Official Name and Position | Crystal Daniels (NURSE PRACTITIONER) |
Authorized Official Contact | 4103225739 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Clarity Psychiatric Wellness Llc 9091 Snowden River Pkwy # 1091 Columbia MD 21046-1657 Ph: (410) 322-5739 | Clarity Psychiatric Wellness Llc 100 West Rd Suite #300 Towson MD 21204 Ph: (410) 322-5739 |
NPI Number | 1366192684 |
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Provider Enumeration Date | 03/28/2022 |
Last Update Date | 05/03/2023 |
Certification Date | 05/03/2023 |
Medicare PECOS PAC ID | 5294191326 |
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Medicare Enrollment ID | O20230516002363 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366192684 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Provider Name | Crystal Daniels |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609470780 PECOS PAC ID: 1254748742 Enrollment ID: I20210330000654 |
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