| Ellicott City Mental Health Llc | |
|
9256 Bendix Rd Ste 200b Columbia MD 21045-1848 | |
| (443) 542-0773 | |
| Not Available |
| Full Name | Ellicott City Mental Health Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 9256 Bendix Rd Ste 200b, Columbia, Maryland |
| Authorized Official Name and Position | Anandraj Mattai (OWNER) |
| Authorized Official Contact | 4435420773 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ellicott City Mental Health Llc 9256 Bendix Rd Ste 200b Columbia MD 21045-1848 Ph: (443) 542-0773 | Ellicott City Mental Health Llc 9256 Bendix Rd Ste 200b Columbia MD 21045-1848 Ph: (443) 542-0773 |
| NPI Number | 1316404411 |
|---|---|
| Provider Enumeration Date | 02/25/2019 |
| Last Update Date | 06/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316404411 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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