| Pinnacle Enrichment Healthcare Services, Llc | |
|
1300 Mercantile Ln Ste 150 Largo MD 20774-5334 | |
| (901) 270-8002 | |
| Not Available |
| Full Name | Pinnacle Enrichment Healthcare Services, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1300 Mercantile Ln Ste 150, Largo, Maryland |
| Authorized Official Name and Position | Myron V. Johnson (PRINCIPAL/ OWNER) |
| Authorized Official Contact | 9012708002 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pinnacle Enrichment Healthcare Services, Llc 1300 Mercantile Ln Ste 150 Largo MD 20774-5334 Ph: (901) 270-8002 | Pinnacle Enrichment Healthcare Services, Llc 1300 Mercantile Ln Ste 150 Largo MD 20774-5334 Ph: (901) 270-8002 |
| NPI Number | 1760984868 |
|---|---|
| Provider Enumeration Date | 03/05/2018 |
| Last Update Date | 03/05/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760984868 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH-2462 (Tennessee) | Primary |
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