| Lbm Behavioral Llc | |
|
14644 Wexhall Ter Burtonsville MD 20866-1911 | |
| (706) 201-9670 | |
| Not Available |
| Full Name | Lbm Behavioral Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 14644 Wexhall Ter, Burtonsville, Maryland |
| Authorized Official Name and Position | Brenda Fonju (CRNP-PMH) |
| Authorized Official Contact | 7062019670 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lbm Behavioral Llc 14644 Wexhall Ter Burtonsville MD 20866-1911 Ph: (706) 201-9670 | Lbm Behavioral Llc 14644 Wexhall Ter Burtonsville MD 20866-1911 Ph: (706) 201-9670 |
| NPI Number | 1093422701 |
|---|---|
| Provider Enumeration Date | 11/02/2022 |
| Last Update Date | 11/02/2022 |
| Certification Date | 11/02/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093422701 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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