| Mental Clarity Llc | |
|
5211 Auth Rd Ste 202b Suitland MD 20746-4658 | |
| (301) 237-0498 | |
| Not Available |
| Full Name | Mental Clarity Llc |
|---|---|
| Speciality | Counselor |
| Location | 5211 Auth Rd Ste 202b, Suitland, Maryland |
| Authorized Official Name and Position | Gerald Jones (THERAPIST) |
| Authorized Official Contact | 3012370498 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mental Clarity Llc 16602 Eastview Terrace, Bowie, Md, 20716 Bowie MD 20716 Ph: (301) 237-0498 | Mental Clarity Llc 5211 Auth Rd Ste 202b Suitland MD 20746-4658 Ph: (301) 237-0498 |
| NPI Number | 1144998170 |
|---|---|
| Provider Enumeration Date | 09/03/2021 |
| Last Update Date | 02/04/2022 |
| Certification Date | 02/04/2022 |
| Medicare PECOS PAC ID | 2062852445 |
|---|---|
| Medicare Enrollment ID | O20240502000976 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144998170 | NPI | - | NPPES |
| 570130900 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Gerald Patrick Jones |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548597115 PECOS PAC ID: 3971943358 Enrollment ID: I20240502001070 |
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