| Mental Health Concepts Llc | |
|
2 Marbledale Ct Reisterstown MD 21136-3210 | |
| (443) 983-3211 | |
| Not Available |
| Full Name | Mental Health Concepts Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2 Marbledale Ct, Reisterstown, Maryland |
| Authorized Official Name and Position | Cassandra Burks (OWNER) |
| Authorized Official Contact | 4439833211 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mental Health Concepts Llc 2 Marbledale Ct Reisterstown MD 21136-3210 Ph: (443) 983-3211 | Mental Health Concepts Llc 2 Marbledale Ct Reisterstown MD 21136-3210 Ph: (443) 983-3211 |
| NPI Number | 1548027329 |
|---|---|
| Provider Enumeration Date | 02/28/2024 |
| Last Update Date | 02/28/2024 |
| Certification Date | 02/28/2024 |
| Medicare PECOS PAC ID | 6608318472 |
|---|---|
| Medicare Enrollment ID | O20240607001724 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548027329 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Secondary |
| Provider Name | Cassandra Burks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700546223 PECOS PAC ID: 7810366887 Enrollment ID: I20221214000199 |
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