Holistic Approach Mental Health, Llc | |
7452 Baltimore Annapolis Blvd Suite #107 Glen Burnie MD 21061-3547 | |
(443) 621-1384 | |
Not Available |
Full Name | Holistic Approach Mental Health, Llc |
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Speciality | Clinic/Center |
Location | 7452 Baltimore Annapolis Blvd, Glen Burnie, Maryland |
Authorized Official Name and Position | Ilya Rozenberg (OWNER) |
Authorized Official Contact | 4436211384 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Holistic Approach Mental Health, Llc 7452 Baltimore Annapolis Blvd Suite #107 Glen Burnie MD 21061-3547 Ph: (443) 621-1384 | Holistic Approach Mental Health, Llc 7452 Baltimore Annapolis Blvd Suite #107 Glen Burnie MD 21061-3547 Ph: (443) 621-1384 |
NPI Number | 1528496650 |
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Provider Enumeration Date | 10/29/2013 |
Last Update Date | 06/02/2014 |
Medicare PECOS PAC ID | 3779711973 |
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Medicare Enrollment ID | O20140115001189 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528496650 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | R143360 (Maryland) | Primary |
Provider Name | Ilya Rozenberg |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467460865 PECOS PAC ID: 9830121730 Enrollment ID: I20050831000260 |
Provider Name | Kristin L Bussell |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356533061 PECOS PAC ID: 0446304224 Enrollment ID: I20090812000860 |
Provider Name | Vanita T. Dowdell |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902383482 PECOS PAC ID: 7517211261 Enrollment ID: I20181115000246 |
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