| My Client Mental Health And Wellness Llc | |
|
10632 Little Patuxent Pkwy Columbia MD 21044-3273 | |
| (240) 437-4920 | |
| (240) 437-4920 |
| Full Name | My Client Mental Health And Wellness Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 10632 Little Patuxent Pkwy, Columbia, Maryland |
| Authorized Official Name and Position | Nneka Ezunagu (DIRECTOR) |
| Authorized Official Contact | 2404374920 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| My Client Mental Health And Wellness Llc 10632 Little Patuxent Pkwy Columbia MD 21044-3273 Ph: (240) 437-4920 | My Client Mental Health And Wellness Llc 10632 Little Patuxent Pkwy Columbia MD 21044-3273 Ph: (240) 437-4920 |
| NPI Number | 1417694118 |
|---|---|
| Provider Enumeration Date | 05/16/2022 |
| Last Update Date | 05/16/2022 |
| Certification Date | 05/13/2022 |
| Medicare PECOS PAC ID | 5092194316 |
|---|---|
| Medicare Enrollment ID | O20220616001867 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417694118 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Nneka Obianuju Ezunagu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902230253 PECOS PAC ID: 5092949032 Enrollment ID: I20131008000071 |
| Provider Name | Uchechukwu Ifeji |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043736846 PECOS PAC ID: 6103189857 Enrollment ID: I20180411002750 |
| Provider Name | Kathryn Novak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265689715 PECOS PAC ID: 3375607435 Enrollment ID: I20230125003239 |
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