| B'more Mental Health And Wellness, Llc | |
|
711 W 40th St Ste 206 Baltimore MD 21211-2108 | |
| (410) 842-6055 | |
| Not Available |
| Full Name | B'more Mental Health And Wellness, Llc |
|---|---|
| Speciality | Counselor |
| Location | 711 W 40th St Ste 206, Baltimore, Maryland |
| Authorized Official Name and Position | Katherine H Cornell (DIRECTOR) |
| Authorized Official Contact | 4108426055 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| B'more Mental Health And Wellness, Llc 711 W 40th St Ste 206 Baltimore MD 21211-2108 Ph: (410) 842-6055 | B'more Mental Health And Wellness, Llc 711 W 40th St Ste 206 Baltimore MD 21211-2108 Ph: (410) 842-6055 |
| NPI Number | 1487129813 |
|---|---|
| Provider Enumeration Date | 10/12/2018 |
| Last Update Date | 12/28/2023 |
| Certification Date | 12/28/2023 |
| Medicare PECOS PAC ID | 0143666073 |
|---|---|
| Medicare Enrollment ID | O20240313002636 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487129813 | NPI | - | NPPES |
| Provider Name | Abdulhafiz A Ahmed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508949496 PECOS PAC ID: 9537130729 Enrollment ID: I20160620001325 |
| Provider Name | Destiny J T Hilliard-thomas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124603766 PECOS PAC ID: 9032558549 Enrollment ID: I20240417000913 |
| Provider Name | Lauryn Swinson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750717708 PECOS PAC ID: 3274978218 Enrollment ID: I20240515000233 |
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