| Lartey Wellness Group Llc | |
|
8101 Sandy Spring Rd Ste 250h Laurel MD 20707-3527 | |
| (301) 524-2273 | |
| Not Available |
| Full Name | Lartey Wellness Group Llc |
|---|---|
| Speciality | Counselor |
| Location | 8101 Sandy Spring Rd Ste 250h, Laurel, Maryland |
| Authorized Official Name and Position | Franklin Lartey (CEO) |
| Authorized Official Contact | 3015242273 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lartey Wellness Group Llc 6301 Taylor Acres Rd Hanover MD 21076-2443 Ph: (301) 524-2733 | Lartey Wellness Group Llc 8101 Sandy Spring Rd Ste 250h Laurel MD 20707-3527 Ph: (301) 524-2273 |
| NPI Number | 1942761838 |
|---|---|
| Provider Enumeration Date | 03/25/2019 |
| Last Update Date | 04/18/2024 |
| Certification Date | 04/18/2024 |
| Medicare PECOS PAC ID | 1355735911 |
|---|---|
| Medicare Enrollment ID | O20220224000004 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942761838 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Honorine E Wanie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245625649 PECOS PAC ID: 5597042721 Enrollment ID: I20171004000365 |
| Provider Name | Patrick Kaguamba Nganga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982916607 PECOS PAC ID: 8426244500 Enrollment ID: I20191018000818 |
| Provider Name | Zuwena Mohamed Iddi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831447747 PECOS PAC ID: 2365831146 Enrollment ID: I20211117000285 |
| Provider Name | Ifeoluwa Oyefeso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598241002 PECOS PAC ID: 0042546772 Enrollment ID: I20220224000023 |
| Provider Name | Hamida Majili |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144924523 PECOS PAC ID: 3173978129 Enrollment ID: I20231010004237 |
| Provider Name | Stephanie Anyaoha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013605443 PECOS PAC ID: 6002261526 Enrollment ID: I20231018001555 |
| Provider Name | Warren Christian |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174081202 PECOS PAC ID: 8022456383 Enrollment ID: I20240404003914 |
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