| Open Conversations, Llc | |
|
575 Main Street Suite 251 Laurel MD 20707 | |
| (240) 360-4765 | |
| (240) 786-6672 |
| Full Name | Open Conversations, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 575 Main Street, Laurel, Maryland |
| Authorized Official Name and Position | Pauline S Belton (OWNER) |
| Authorized Official Contact | 2403604765 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Open Conversations, Llc 575 Main Street Suite 251 Laurel MD 20707 Ph: (240) 360-4765 | Open Conversations, Llc 575 Main Street Suite 251 Laurel MD 20707 Ph: (240) 360-4765 |
| NPI Number | 1851770481 |
|---|---|
| Provider Enumeration Date | 05/28/2015 |
| Last Update Date | 02/18/2022 |
| Certification Date | 02/18/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851770481 | NPI | - | NPPES |
| 502221500 | Medicaid | MD | |
| 600957636 | Other | MD | MAGELLAN HEALTHCARE |
| 800095 | Medicaid | MD | |
| BE580000 | Other | MD | CARE FIRST BLUE CROSS BLUE SHIELDS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LC5222 (Maryland) | Primary |
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