| Mindsite Health Llc | |
|
6755 Business Pkwy Ste 109 Elkridge MD 21075-6856 | |
| (443) 230-4050 | |
| (609) 710-1599 |
| Full Name | Mindsite Health Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 6755 Business Pkwy Ste 109, Elkridge, Maryland |
| Authorized Official Name and Position | Susana Lynn Nwous (MEDICAL DIRECTOR) |
| Authorized Official Contact | 4432304050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindsite Health Llc 6755 Business Pkwy Ste 109 Elkridge MD 21075-6856 Ph: (443) 230-4050 | Mindsite Health Llc 6755 Business Pkwy Ste 109 Elkridge MD 21075-6856 Ph: (443) 230-4050 |
| NPI Number | 1982310405 |
|---|---|
| Provider Enumeration Date | 01/27/2023 |
| Last Update Date | 01/27/2023 |
| Certification Date | 01/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982310405 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
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