| M Mental Health And Wellness Plus | |
|
12301 Old Columbia Pike Ste 201 Silver Spring MD 20904-1656 | |
| (301) 693-4888 | |
| (301) 477-1855 |
| Full Name | M Mental Health And Wellness Plus |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 12301 Old Columbia Pike Ste 201, Silver Spring, Maryland |
| Authorized Official Name and Position | Jeannette N Mwangacucu (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3015323006 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| M Mental Health And Wellness Plus 4600 Powder Mill Road Suite 450-c Beltsville MD 20705-1383 Ph: (301) 693-4888 | M Mental Health And Wellness Plus 12301 Old Columbia Pike Ste 201 Silver Spring MD 20904-1656 Ph: (301) 693-4888 |
| NPI Number | 1366991697 |
|---|---|
| Provider Enumeration Date | 09/28/2016 |
| Last Update Date | 05/21/2024 |
| Certification Date | 05/21/2024 |
| Medicare PECOS PAC ID | 2163703026 |
|---|---|
| Medicare Enrollment ID | O20170109000673 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366991697 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Jeannette N Mwangacucu |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235560913 PECOS PAC ID: 3870877467 Enrollment ID: I20170227001662 |
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