| M&m Behavioral Health Solutions | |
|
1406 Crain Hwy S Ste 104 Glen Burnie MD 21061-4086 | |
| (410) 766-6624 | |
| (410) 766-0240 |
| Full Name | M&m Behavioral Health Solutions |
|---|---|
| Speciality | Counselor |
| Location | 1406 Crain Hwy S Ste 104, Glen Burnie, Maryland |
| Authorized Official Name and Position | Ann Mccoy (CLINICAL DIRECTOR) |
| Authorized Official Contact | 4107666624 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| M&m Behavioral Health Solutions 1406 Crain Hwy S Ste 104 Glen Burnie MD 21061-4086 Ph: (410) 766-6624 | M&m Behavioral Health Solutions 1406 Crain Hwy S Ste 104 Glen Burnie MD 21061-4086 Ph: (410) 766-6624 |
| NPI Number | 1134525710 |
|---|---|
| Provider Enumeration Date | 11/10/2014 |
| Last Update Date | 01/18/2017 |
| Medicare PECOS PAC ID | 1355634437 |
|---|---|
| Medicare Enrollment ID | O20160727000859 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134525710 | NPI | - | NPPES |
| 455107900 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LC3585 (Maryland) | Primary |
| Provider Name | Bert Nayfack |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124051768 PECOS PAC ID: 2961578562 Enrollment ID: I20080905000174 |
| Provider Name | Kassandra A Dickens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871890301 PECOS PAC ID: 7719163278 Enrollment ID: I20110517000711 |
| Provider Name | Christine L Rist |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326300757 PECOS PAC ID: 4688830276 Enrollment ID: I20120726000128 |
| Provider Name | Heather M Wallick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588908347 PECOS PAC ID: 5092969782 Enrollment ID: I20141104001513 |
| Provider Name | Kumli S Anye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104221613 PECOS PAC ID: 2961727847 Enrollment ID: I20150218000193 |
| Provider Name | Cynthia Agyeman-anane |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427428812 PECOS PAC ID: 8123310497 Enrollment ID: I20160706001943 |
| Provider Name | Hollie Nicole Mills |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467986653 PECOS PAC ID: 1355628645 Enrollment ID: I20170516001667 |
| Provider Name | Kimberly Bryan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114305562 PECOS PAC ID: 9234406943 Enrollment ID: I20170601000282 |
| Provider Name | Gretchen Ryle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972048593 PECOS PAC ID: 5092083816 Enrollment ID: I20170621000033 |
| Provider Name | Janice Doan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356867519 PECOS PAC ID: 5799059374 Enrollment ID: I20170920002070 |
| Provider Name | Edith Linville |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316496326 PECOS PAC ID: 7810256237 Enrollment ID: I20180110002586 |
| Provider Name | Effie Pinkrah Sevor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083103428 PECOS PAC ID: 7416202247 Enrollment ID: I20180620000607 |
| Provider Name | Mary N Zelio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588901946 PECOS PAC ID: 8123351400 Enrollment ID: I20190603000241 |
| Provider Name | Meagan Jennifer Desilva |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831437623 PECOS PAC ID: 1254667694 Enrollment ID: I20190724000044 |
| Provider Name | Martin N Nzefeh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427317080 PECOS PAC ID: 6608278064 Enrollment ID: I20210708001337 |
| Provider Name | Valeree Tolios |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285103846 PECOS PAC ID: 4981008273 Enrollment ID: I20210809002831 |
| Provider Name | Palvine Anchenmih Alem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780258160 PECOS PAC ID: 7012399595 Enrollment ID: I20220730000072 |
| Provider Name | Olayinka Sogbola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467132027 PECOS PAC ID: 5294184446 Enrollment ID: I20231213001158 |
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