| Dynamic Mental Health Services Llc | |
|
2600 Luiss Deane Dr Parkville MD 21234-2647 | |
| (301) 917-4386 | |
| Not Available |
| Full Name | Dynamic Mental Health Services Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2600 Luiss Deane Dr, Parkville, Maryland |
| Authorized Official Name and Position | Clara Abit (PRESIDENT) |
| Authorized Official Contact | 3019174386 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dynamic Mental Health Services Llc 2600 Luiss Deane Dr Parkville MD 21234-2647 Ph: (301) 917-4386 | Dynamic Mental Health Services Llc 2600 Luiss Deane Dr Parkville MD 21234-2647 Ph: (301) 917-4386 |
| NPI Number | 1144805839 |
|---|---|
| Provider Enumeration Date | 03/14/2021 |
| Last Update Date | 03/14/2021 |
| Certification Date | 03/14/2021 |
| Medicare PECOS PAC ID | 7012324809 |
|---|---|
| Medicare Enrollment ID | O20210323001064 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144805839 | NPI | - | NPPES |
| Provider Name | Clara Abit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053921551 PECOS PAC ID: 7012328735 Enrollment ID: I20201201000868 |
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