| Matclinic Physicians Practice Group Llc | |
|
601 7th St Ste 304 Laurel MD 20707-4011 | |
| (410) 220-0780 | |
| (410) 862-0150 |
| Full Name | Matclinic Physicians Practice Group Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 601 7th St Ste 304, Laurel, Maryland |
| Authorized Official Name and Position | Dan Reck (MANAGER) |
| Authorized Official Contact | 4102200780 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Matclinic Physicians Practice Group Llc Po Box 9068 Baltimore MD 21222-0768 Ph: (410) 220-0720 | Matclinic Physicians Practice Group Llc 601 7th St Ste 304 Laurel MD 20707-4011 Ph: (410) 220-0780 |
| NPI Number | 1417567157 |
|---|---|
| Provider Enumeration Date | 08/07/2020 |
| Last Update Date | 05/11/2022 |
| Certification Date | 05/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417567157 | NPI | - | NPPES |
| 200710010 | Other | MD | DEPT OF HEALTH, BEHAVIORAL HEALTH ADMIN |
| 661011100 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Innovative Therapeutic Services, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 14440 Cherry Lane Ct, Suite 208, Laurel, MD 20707 Phone: 301-604-1458 | |
Innovative Therapeutic Services, Corp. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 14440 Cherry Lane Ct, 208, Laurel, MD 20707 Phone: 301-604-1458 | |
Centrepointe Counseling, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8801 Stephens Rd, Laurel, MD 20723 Phone: 800-491-5369 Fax: 301-774-3678 | |
Renewing Hope, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 903 Park Ave Apt 100, Laurel, MD 20707 Phone: 240-374-9178 | |
R.i.s.e Family Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9811 Mallard Dr Ste 203, Laurel, MD 20708 Phone: 301-778-8835 | |
Thomas L Christian Center Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8518 Briarcroft Ln, Laurel, MD 20708 Phone: 301-379-3226 | |
Mayor And City Council Of Laurel Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 422 Montgomery St, Laurel, MD 20707 Phone: 240-294-1304 Fax: 301-617-2869 |