| Essene Behavioral Healthcare,llc | |
|
14502 Greenview Dr Ste 432 Laurel MD 20708-3287 | |
| (240) 334-7147 | |
| Not Available |
| Full Name | Essene Behavioral Healthcare,llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 14502 Greenview Dr Ste 432, Laurel, Maryland |
| Authorized Official Name and Position | Precious Esene (OWNER) |
| Authorized Official Contact | 2403347174 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Essene Behavioral Healthcare,llc 14502 Greenview Dr Ste 432 Laurel MD 20708-3287 Ph: (240) 334-7147 | Essene Behavioral Healthcare,llc 14502 Greenview Dr Ste 432 Laurel MD 20708-3287 Ph: (240) 334-7147 |
| NPI Number | 1346953304 |
|---|---|
| Provider Enumeration Date | 01/04/2023 |
| Last Update Date | 04/19/2024 |
| Certification Date | 04/19/2024 |
| Medicare PECOS PAC ID | 5698121184 |
|---|---|
| Medicare Enrollment ID | O20231019000412 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346953304 | NPI | - | NPPES |
| 0000000 | Other | MD | IN PROCESS |
| Provider Name | Precious Ibhade Esene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598345365 PECOS PAC ID: 6507212099 Enrollment ID: I20231019000481 |
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