Concept Behavioral Services Dmv | |
9801 Greenbelt Rd Ste 318 Lanham MD 20706-6231 | |
(301) 552-4444 | |
Not Available |
Full Name | Concept Behavioral Services Dmv |
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Speciality | Clinic/Center |
Location | 9801 Greenbelt Rd Ste 318, Lanham, Maryland |
Authorized Official Name and Position | Lovelyn Bialose (PRESIDENT) |
Authorized Official Contact | 3015524444 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Concept Behavioral Services Dmv 9801 Greenbelt Rd Ste 318 Lanham MD 20706-6231 Ph: (301) 552-4444 | Concept Behavioral Services Dmv 9801 Greenbelt Rd Ste 318 Lanham MD 20706-6231 Ph: (301) 552-4444 |
NPI Number | 1043910920 |
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Provider Enumeration Date | 03/08/2023 |
Last Update Date | 04/20/2023 |
Certification Date | 04/20/2023 |
Medicare PECOS PAC ID | 1456711399 |
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Medicare Enrollment ID | O20230724002473 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043910920 | NPI | - | NPPES |
Provider Name | Lovelyn I Bialose |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467851899 PECOS PAC ID: 1850724527 Enrollment ID: I20191211000128 |
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