| Destiny Psychiatry Care Llc | |
|
4500 Forbes Blvd Ste 200 Lanham MD 20706-6316 | |
| (301) 778-6739 | |
| Not Available |
| Full Name | Destiny Psychiatry Care Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4500 Forbes Blvd Ste 200, Lanham, Maryland |
| Authorized Official Name and Position | Yvonne Mba (PROVIDER) |
| Authorized Official Contact | 3017786739 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Destiny Psychiatry Care Llc 4500 Forbes Blvd Ste 200 Lanham MD 20706-6316 Ph: (301) 778-6739 | Destiny Psychiatry Care Llc 4500 Forbes Blvd Ste 200 Lanham MD 20706-6316 Ph: (301) 778-6739 |
| NPI Number | 1750156923 |
|---|---|
| Provider Enumeration Date | 11/17/2023 |
| Last Update Date | 11/17/2023 |
| Certification Date | 11/17/2023 |
| Medicare PECOS PAC ID | 2860835410 |
|---|---|
| Medicare Enrollment ID | O20240210000014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750156923 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Yvonne Abonge Mba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629641121 PECOS PAC ID: 1759770076 Enrollment ID: I20240210000019 |
Diversified Treatment Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10104 Senate Dr, Suite 228, Lanham, MD 20706 Phone: 301-577-4920 Fax: 301-577-4940 | |
The One World Center For Autism, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7401 Forbes Blvd Ste A, Lanham, MD 20706 Phone: 301-618-8395 Fax: 301-618-8396 | |
Grace Inspire Behavioral Health Care Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 9103 Woodmore Center Dr # 412, Lanham, MD 20706 Phone: 240-361-9242 Fax: 240-361-9255 | |
You First Health Systems, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4325 Forbes Blvd Ste E, Lanham, MD 20706 Phone: 301-329-0177 | |
Karia Home Health Consulting, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7404 Executive Pl Ste 400, Lanham, MD 20706 Phone: 240-639-4430 | |
Interdynamics, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4601 Forbes Blvd, Lanham, MD 20706 Phone: 301-306-4590 Fax: 301-306-4591 | |
Affiliated Sante Group Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4355 Nicole Dr, Lanham, MD 20706 Phone: 301-429-2171 |