| Magsun Mental Wellness, Inc | |
|
1900 E Northern Pkwy Ste 305 Baltimore MD 21239-2111 | |
| (410) 908-9242 | |
| Not Available |
| Full Name | Magsun Mental Wellness, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1900 E Northern Pkwy Ste 305, Baltimore, Maryland |
| Authorized Official Name and Position | Omotale Adebayo (OWNER) |
| Authorized Official Contact | 4109089242 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Magsun Mental Wellness, Inc 1900 E Northern Pkwy Ste 305 Baltimore MD 21239-2111 Ph: (410) 908-9242 | Magsun Mental Wellness, Inc 1900 E Northern Pkwy Ste 305 Baltimore MD 21239-2111 Ph: (410) 908-9242 |
| NPI Number | 1881385508 |
|---|---|
| Provider Enumeration Date | 05/15/2023 |
| Last Update Date | 05/15/2023 |
| Certification Date | 05/15/2023 |
| Medicare PECOS PAC ID | 1759742059 |
|---|---|
| Medicare Enrollment ID | O20230803000030 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881385508 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Omotale Margaret Adebayo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427769231 PECOS PAC ID: 2668833963 Enrollment ID: I20230803000038 |
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