| Mindful Moments, Llc | |
|
8160 Washington Blvd Jessup MD 20794-8812 | |
| (202) 316-0228 | |
| Not Available |
| Full Name | Mindful Moments, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 8160 Washington Blvd, Jessup, Maryland |
| Authorized Official Name and Position | Margaret Isoh (PROVIDER) |
| Authorized Official Contact | 2023160228 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Moments, Llc 8160 Washington Blvd Jessup MD 20794-8812 Ph: (202) 316-0228 | Mindful Moments, Llc 8160 Washington Blvd Jessup MD 20794-8812 Ph: (202) 316-0228 |
| NPI Number | 1336869502 |
|---|---|
| Provider Enumeration Date | 08/29/2022 |
| Last Update Date | 08/29/2022 |
| Certification Date | 08/29/2022 |
| Medicare PECOS PAC ID | 3375914914 |
|---|---|
| Medicare Enrollment ID | O20230119000387 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336869502 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Margaret Isoh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104436526 PECOS PAC ID: 9335552009 Enrollment ID: I20210120000293 |
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