| Conquest Health Llc | |
|
12311 Snowden Woods Rd Laurel MD 20708-2492 | |
| (240) 524-1619 | |
| (240) 713-3107 |
| Full Name | Conquest Health Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 12311 Snowden Woods Rd, Laurel, Maryland |
| Authorized Official Name and Position | Kumli Anye (PSYCH/MENTAL HEALTH NURSE PRACTITIO) |
| Authorized Official Contact | 2406031253 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Conquest Health Llc 12311 Snowden Woods Rd Laurel MD 20708-2492 Ph: (240) 524-1619 | Conquest Health Llc 12311 Snowden Woods Rd Laurel MD 20708-2492 Ph: (240) 524-1619 |
| NPI Number | 1144999277 |
|---|---|
| Provider Enumeration Date | 09/11/2021 |
| Last Update Date | 09/11/2021 |
| Certification Date | 09/11/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144999277 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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