| Mccullough Mental Health & Wellness Llc | |
|
3904 Wabash Ave Apt 2a Baltimore MD 21215-8358 | |
| (443) 563-1287 | |
| Not Available |
| Full Name | Mccullough Mental Health & Wellness Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3904 Wabash Ave Apt 2a, Baltimore, Maryland |
| Authorized Official Name and Position | Shannon Mccullough (OWNER) |
| Authorized Official Contact | 4107104018 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mccullough Mental Health & Wellness Llc 3904 Wabash Ave Apt 2a Baltimore MD 21215-8358 Ph: (443) 563-1287 | Mccullough Mental Health & Wellness Llc 3904 Wabash Ave Apt 2a Baltimore MD 21215-8358 Ph: (443) 563-1287 |
| NPI Number | 1790365260 |
|---|---|
| Provider Enumeration Date | 04/09/2021 |
| Last Update Date | 04/09/2021 |
| Certification Date | 04/08/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790365260 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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