| Exousia Behavioral Health, Llc | |
|
5625 Allentown Rd Suitland MD 20746-4521 | |
| (571) 409-1517 | |
| Not Available |
| Full Name | Exousia Behavioral Health, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 5625 Allentown Rd, Suitland, Maryland |
| Authorized Official Name and Position | Oluwakemi Aje (CLINICAL DIRECTOR) |
| Authorized Official Contact | 5714091517 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Exousia Behavioral Health, Llc 5625 Allentown Rd Suite 106 Suitland MD 20746-4521 Ph: (571) 409-1517 | Exousia Behavioral Health, Llc 5625 Allentown Rd Suitland MD 20746-4521 Ph: (571) 409-1517 |
| NPI Number | 1497451553 |
|---|---|
| Provider Enumeration Date | 01/31/2023 |
| Last Update Date | 09/01/2023 |
| Certification Date | 06/26/2023 |
| Medicare PECOS PAC ID | 3476918061 |
|---|---|
| Medicare Enrollment ID | O20230504000779 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497451553 | NPI | - | NPPES |
| Provider Name | Oluwakemi Aje |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720418627 PECOS PAC ID: 3971845132 Enrollment ID: I20190508003262 |
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