| Green Circles Llc | |
|
7050 Chesapeake Rd Ste 104 Hyattsville MD 20784-2345 | |
| (301) 485-5259 | |
| (866) 473-2699 |
| Full Name | Green Circles Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 7050 Chesapeake Rd Ste 104, Hyattsville, Maryland |
| Authorized Official Name and Position | Latonia Laffitte (RESIDENT AGENT) |
| Authorized Official Contact | 3014855259 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Green Circles Llc 4609 Penzance Pl Upper Marlboro MD 20772-6923 Ph: (301) 485-5259 | Green Circles Llc 7050 Chesapeake Rd Ste 104 Hyattsville MD 20784-2345 Ph: (301) 485-5259 |
| NPI Number | 1134642622 |
|---|---|
| Provider Enumeration Date | 07/17/2017 |
| Last Update Date | 10/13/2021 |
| Certification Date | 10/06/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134642622 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | PRC14938 (District Of Columbia) | Primary |
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