| Greater Heights Healthcare Services Llc | |
|
1210 Graycliff Ln Odenton MD 21113-1697 | |
| (443) 805-7997 | |
| Not Available |
| Full Name | Greater Heights Healthcare Services Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1210 Graycliff Ln, Odenton, Maryland |
| Authorized Official Name and Position | Pamela C Nwaorgu (OWNER) |
| Authorized Official Contact | 4438057997 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Greater Heights Healthcare Services Llc 1210 Graycliff Ln Odenton MD 21113-1697 Ph: (443) 805-7997 | Greater Heights Healthcare Services Llc 1210 Graycliff Ln Odenton MD 21113-1697 Ph: (443) 805-7997 |
| NPI Number | 1609561059 |
|---|---|
| Provider Enumeration Date | 04/10/2023 |
| Last Update Date | 08/16/2023 |
| Certification Date | 08/16/2023 |
| Medicare PECOS PAC ID | 9234594953 |
|---|---|
| Medicare Enrollment ID | O20230503000615 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609561059 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP2701X | Psychologist - Group Psychotherapy | (* (Not Available)) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Secondary |
| Provider Name | Pamela C Nwaorgu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326642521 PECOS PAC ID: 6901206994 Enrollment ID: I20210614000410 |
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