| Practitioner Direct Global, Llc | |
|
1125 West St Ste 401 Annapolis MD 21401-4198 | |
| (410) 934-3494 | |
| Not Available |
| Full Name | Practitioner Direct Global, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1125 West St Ste 401, Annapolis, Maryland |
| Authorized Official Name and Position | Constance Fullwood (CEO/NURSE PRACTITIONER) |
| Authorized Official Contact | 4019343494 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Practitioner Direct Global, Llc 7831 Old North Ct Charlotte NC 28270-2782 Ph: (704) 998-1919 | Practitioner Direct Global, Llc 1125 West St Ste 401 Annapolis MD 21401-4198 Ph: (410) 934-3494 |
| NPI Number | 1023834850 |
|---|---|
| Provider Enumeration Date | 11/26/2024 |
| Last Update Date | 11/26/2024 |
| Certification Date | 11/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023834850 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Tricia Burke, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1187 Saint George Dr, Annapolis, MD 21409 Phone: 808-341-4742 | |
Lumate Florida Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3151 Catrina Ln, Annapolis, MD 21403 Phone: 917-304-0679 | |
Guiding Minds Therapeutic Counseling Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2525 Riva Rd, Annapolis, MD 21401 Phone: 240-277-3422 | |
Grow On Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1702 Marissa Way, Annapolis, MD 21401 Phone: 443-203-8469 | |
Lee F. Owens, Ed.d. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 116 Defense Hwy, Suite 210, Annapolis, MD 21401 Phone: 410-224-2021 Fax: 410-224-2420 | |
Project Chesapeake Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 108 Old Solomons Island Rd, Building 2 Suite 1, Annapolis, MD 21401 Phone: 443-214-5097 Fax: 443-378-8538 |