Fortitude Counseling Center Llc | |
6710 Oxon Hill Rd Ste 210 Oxon Hill MD 20745-1124 | |
(240) 863-2820 | |
Not Available |
Full Name | Fortitude Counseling Center Llc |
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Speciality | Social Worker |
Location | 6710 Oxon Hill Rd Ste 210, Oxon Hill, Maryland |
Authorized Official Name and Position | Cornealius L Stamps (DIRECTOR) |
Authorized Official Contact | 2408632820 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Fortitude Counseling Center Llc 137 National Plz Ste 300 Oxon Hill MD 20745-1153 Ph: (240) 863-2820 | Fortitude Counseling Center Llc 6710 Oxon Hill Rd Ste 210 Oxon Hill MD 20745-1124 Ph: (240) 863-2820 |
NPI Number | 1376107813 |
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Provider Enumeration Date | 04/30/2019 |
Last Update Date | 04/30/2019 |
Medicare PECOS PAC ID | 6800217720 |
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Medicare Enrollment ID | O20200602001020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376107813 | NPI | - | NPPES |
303314700 | Medicaid | MD |
Provider Name | Cornealius L Stamps |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1962709659 PECOS PAC ID: 0244651164 Enrollment ID: I20200602001147 |
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