| Lantern Therapeutic Services | |
|
8200 Professional Pl Suite 104 Landover MD 20785 | |
| (240) 607-2756 | |
| (240) 607-2776 |
| Full Name | Lantern Therapeutic Services |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 8200 Professional Pl, Landover, Maryland |
| Authorized Official Name and Position | Karen B Jones (CLINICAL DIRECTOR - CEO) |
| Authorized Official Contact | 2406072756 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lantern Therapeutic Services 1282 Smallwood Dr W Suite 507 Waldorf MD 20603-4732 Ph: (240) 607-2756 | Lantern Therapeutic Services 8200 Professional Pl Suite 104 Landover MD 20785 Ph: (240) 607-2756 |
| NPI Number | 1568837565 |
|---|---|
| Provider Enumeration Date | 12/02/2015 |
| Last Update Date | 09/04/2018 |
| Medicare PECOS PAC ID | 8820348238 |
|---|---|
| Medicare Enrollment ID | O20180911002321 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568837565 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MH-1238 (Maryland) | Primary |
| Provider Name | Tanya N Alim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972601763 PECOS PAC ID: 1557529013 Enrollment ID: I20120301000135 |
| Provider Name | Oyesola Akintan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760712913 PECOS PAC ID: 9739333725 Enrollment ID: I20130128000436 |
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