Integral Psychiatry And Wellness Llc | |
12209 Amblewood Dr Laurel MD 20708-3110 | |
(240) 304-4959 | |
Not Available |
Full Name | Integral Psychiatry And Wellness Llc |
---|---|
Speciality | Clinic/Center |
Location | 12209 Amblewood Dr, Laurel, Maryland |
Authorized Official Name and Position | Florence Ijeoma Amaikwu (PMHNP) |
Authorized Official Contact | 2405488714 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Integral Psychiatry And Wellness Llc 12209 Amblewood Dr Laurel MD 20708-3110 Ph: (240) 548-8714 | Integral Psychiatry And Wellness Llc 12209 Amblewood Dr Laurel MD 20708-3110 Ph: (240) 304-4959 |
NPI Number | 1780250977 |
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Provider Enumeration Date | 05/28/2021 |
Last Update Date | 09/09/2024 |
Certification Date | 09/09/2024 |
Medicare PECOS PAC ID | 8628470960 |
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Medicare Enrollment ID | O20210709000944 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780250977 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Provider Name | Florence I Amaikwu |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679164750 PECOS PAC ID: 1759783921 Enrollment ID: I20210712000279 |
Provider Name | Florence I Amaikwu |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679164750 PECOS PAC ID: 1759783921 Enrollment ID: I20230707002764 |
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