| M & M Mental Health And Wellness Clinic Llc | |
|
122 Waelchli Ave Halethorpe MD 21227-2546 | |
| (443) 845-4269 | |
| Not Available |
| Full Name | M & M Mental Health And Wellness Clinic Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 122 Waelchli Ave, Halethorpe, Maryland |
| Authorized Official Name and Position | Matthew Hale Mauro (MEDICAL DIRECTOR) |
| Authorized Official Contact | 4438454269 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| M & M Mental Health And Wellness Clinic Llc 122 Waelchli Ave Halethorpe MD 21227-2546 Ph: (443) 845-4269 | M & M Mental Health And Wellness Clinic Llc 122 Waelchli Ave Halethorpe MD 21227-2546 Ph: (443) 845-4269 |
| NPI Number | 1417520529 |
|---|---|
| Provider Enumeration Date | 07/19/2021 |
| Last Update Date | 07/19/2021 |
| Certification Date | 07/19/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417520529 | NPI | - | NPPES |
| 1154915387 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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