| On The Mark Psychiatric Services, Llc | |
|
216 E Main St Richmond VA 23219-3715 | |
| (804) 878-3518 | |
| (651) 855-5083 |
| Full Name | On The Mark Psychiatric Services, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 216 E Main St, Richmond, Virginia |
| Authorized Official Name and Position | Hannah Marks Braxton (CO-OWNER) |
| Authorized Official Contact | 8048783518 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| On The Mark Psychiatric Services, Llc 216 E Main St Richmond VA 23219-3715 Ph: (804) 878-3518 | On The Mark Psychiatric Services, Llc 216 E Main St Richmond VA 23219-3715 Ph: (804) 878-3518 |
| NPI Number | 1235880766 |
|---|---|
| Provider Enumeration Date | 01/17/2022 |
| Last Update Date | 03/02/2022 |
| Certification Date | 03/02/2022 |
| Medicare PECOS PAC ID | 2466817283 |
|---|---|
| Medicare Enrollment ID | O20230501002640 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235880766 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Hannah P Braxton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083234165 PECOS PAC ID: 5991198632 Enrollment ID: I20220202000562 |
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