Fortitude Mental Healthcare Services | |
405 N Center St Ste 10 Westminster MD 21157-5119 | |
(410) 861-0151 | |
Not Available |
Full Name | Fortitude Mental Healthcare Services |
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Speciality | Clinic/Center |
Location | 405 N Center St Ste 10, Westminster, Maryland |
Authorized Official Name and Position | Kenya Countee-johnson (PRESIDENT) |
Authorized Official Contact | 4108610151 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Fortitude Mental Healthcare Services 405 N Center St Ste 10 Westminster MD 21157-5119 Ph: (410) 861-0151 | Fortitude Mental Healthcare Services 405 N Center St Ste 10 Westminster MD 21157-5119 Ph: (410) 861-0151 |
NPI Number | 1679308449 |
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Provider Enumeration Date | 09/03/2024 |
Last Update Date | 09/03/2024 |
Certification Date | 09/03/2024 |
Medicare PECOS PAC ID | 7214461722 |
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Medicare Enrollment ID | O20241106002591 |
Identifier | Type | State | Issuer |
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1679308449 | NPI | - | NPPES |
Provider Name | Kenya Countee-johnson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972210821 PECOS PAC ID: 6103288691 Enrollment ID: I20230815004001 |
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