| Elc Mental Health Services | |
|
2528 Mountain Rd Ste 102-204 Pasadena MD 21122-7203 | |
| (443) 548-3733 | |
| (410) 360-1675 |
| Full Name | Elc Mental Health Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 2528 Mountain Rd Ste 102-204, Pasadena, Maryland |
| Authorized Official Name and Position | Jessie Costley (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 4435483733 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elc Mental Health Services 2528 Mountain Rd Ste 204 Pasadena MD 21122-7204 Ph: (443) 548-3733 | Elc Mental Health Services 2528 Mountain Rd Ste 102-204 Pasadena MD 21122-7203 Ph: (443) 548-3733 |
| NPI Number | 1568123966 |
|---|---|
| Provider Enumeration Date | 01/07/2022 |
| Last Update Date | 03/24/2023 |
| Certification Date | 03/24/2023 |
| Medicare PECOS PAC ID | 6002291051 |
|---|---|
| Medicare Enrollment ID | O20220913000039 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568123966 | NPI | - | NPPES |
| 200468200 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Tetyana Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285927723 PECOS PAC ID: 3173700457 Enrollment ID: I20110614000688 |
| Provider Name | Oluwatoyin Mary Adekeye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790171296 PECOS PAC ID: 6002170057 Enrollment ID: I20180430000473 |
| Provider Name | Amanda Diane Cipriani |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194120758 PECOS PAC ID: 8325386758 Enrollment ID: I20190211001611 |
New Life Addiction Counseling Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2528 Mountain Rd, Suite 204, Pasadena, MD 21122 Phone: 410-255-4475 Fax: 410-255-6277 | |
Safe Harbor Christian Counseling Of Annapolis Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 206 Pleasantview Ave, Pasadena, MD 21122 Phone: 410-893-4600 Fax: 443-640-4358 | |
Someone 2 Talk 2, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 7793 E Shore Rd, Pasadena, MD 21122 Phone: 410-961-2262 | |
James Mueller Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1575 Fairview Beach Rd # D3, Pasadena, MD 21122 Phone: 443-221-9877 | |
Behaviorlink, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4157 Mountain Rd # 264, Pasadena, MD 21122 Phone: 443-414-1843 | |
Pasadena Center For Counseling Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 8131 Ritchie Hwy, Suite G, Pasadena, MD 21122 Phone: 410-360-4774 Fax: 410-544-4928 | |
Board Of Child Care Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8028 Governor Ritchie Hwy, Pasadena, MD 21122 Phone: 410-590-9011 |