| Miso Medical Center | |
|
14440 Cherry Lane Ct Ste 218 Laurel MD 20707-4946 | |
| (240) 918-3829 | |
| Not Available |
| Full Name | Miso Medical Center |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 14440 Cherry Lane Ct Ste 218, Laurel, Maryland |
| Authorized Official Name and Position | Ifeoma C Onyia (CEO) |
| Authorized Official Contact | 2409183829 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Miso Medical Center 14440 Cherry Lane Ct Ste 218 Laurel MD 20707-4946 Ph: (240) 918-3829 | Miso Medical Center 14440 Cherry Lane Ct Ste 218 Laurel MD 20707-4946 Ph: (240) 918-3829 |
| NPI Number | 1568060630 |
|---|---|
| Provider Enumeration Date | 10/12/2020 |
| Last Update Date | 07/19/2022 |
| Certification Date | 07/19/2022 |
| Medicare PECOS PAC ID | 4385031152 |
|---|---|
| Medicare Enrollment ID | O20220426000309 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568060630 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Vera A Tebo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912273178 PECOS PAC ID: 6002203882 Enrollment ID: I20220426000429 |
Innovative Therapeutic Services, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 14440 Cherry Lane Ct, Suite 208, Laurel, MD 20707 Phone: 301-604-1458 | |
Innovative Therapeutic Services, Corp. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 14440 Cherry Lane Ct, 208, Laurel, MD 20707 Phone: 301-604-1458 | |
Centrepointe Counseling, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8801 Stephens Rd, Laurel, MD 20723 Phone: 800-491-5369 Fax: 301-774-3678 | |
Renewing Hope, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 903 Park Ave Apt 100, Laurel, MD 20707 Phone: 240-374-9178 | |
R.i.s.e Family Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9811 Mallard Dr Ste 203, Laurel, MD 20708 Phone: 301-778-8835 | |
Thomas L Christian Center Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8518 Briarcroft Ln, Laurel, MD 20708 Phone: 301-379-3226 | |
Mayor And City Council Of Laurel Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 422 Montgomery St, Laurel, MD 20707 Phone: 240-294-1304 Fax: 301-617-2869 |