Devine Grace Behavioral Health Center, Llc in Waldorf, MD - Medicare Community/Behavioral Health

Devine Grace Behavioral Health Center, Llc is a medicare enrolled mental health clinic (Community/behavioral Health) in Waldorf, Maryland. The current practice location for Devine Grace Behavioral Health Center, Llc is 85 High St, Waldorf, Maryland. For appointments, you can reach them via phone at (240) 882-0536. The mailing address for Devine Grace Behavioral Health Center, Llc is 7502 Dogwood Ln, Hanover, Maryland and phone number is () -.

Devine Grace Behavioral Health Center, Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1003670605. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (240) 882-0536.

Contact Information

	Devine Grace Behavioral Health Center, Llc
	85 High St Waldorf MD 20602-2150
	(240) 882-0536
	Not Available

Map and Direction

Mental Health Clinic Profile

Full Name	Devine Grace Behavioral Health Center, Llc
Speciality	Community/Behavioral Health
Location	85 High St, Waldorf, Maryland
Authorized Official Name and Position	Adewale Soniregun (CEO)
Authorized Official Contact	2408820536
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Devine Grace Behavioral Health Center, Llc 7502 Dogwood Ln Hanover MD 21076-3170 Ph: () -	Devine Grace Behavioral Health Center, Llc 85 High St Waldorf MD 20602-2150 Ph: (240) 882-0536

NPI Details:

NPI Number	1003670605
Provider Enumeration Date	02/13/2024
Last Update Date	08/23/2024
Certification Date	08/23/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	7810428646
Medicare Enrollment ID	O20241004000444

Medical Identifiers

Medical identifiers for Devine Grace Behavioral Health Center, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003670605	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	(* (Not Available))	Secondary
101YM0800X	Counselor - Mental Health	(* (Not Available))	Secondary
251S00000X	Community/behavioral Health	(* (Not Available))	Primary
261QM0801X	Clinic/center - Mental Health (including Community Mental Health Center)	(* (Not Available))	Secondary
261QM0850X	Clinic/center - Adult Mental Health	(* (Not Available))	Secondary
261QM0855X	Clinic/center - Adolescent And Children Mental Health	(* (Not Available))	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	(* (Not Available))	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Devine Grace Behavioral Health Center, Llc acts as a billing entity for following providers:

Provider Name	Folake D Aloba
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1255753489 PECOS PAC ID: 9436382249 Enrollment ID: I20140501001798

Reviews and Comments

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Devine Grace Behavioral Health Center, Llc - Medicare Mental Health Clinic in Waldorf, MD