| Pressley Ridge | |
|
8501 Lasalle Road Suite 200 Towson MD 21286-5914 | |
| (667) 206-5210 | |
| (412) 872-9478 |
| Full Name | Pressley Ridge |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 8501 Lasalle Road, Towson, Maryland |
| Authorized Official Name and Position | Douglas A Mullins (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 4128729458 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pressley Ridge 5500 Corporate Dr Ste 400 Pittsburgh PA 15237-5848 Ph: (412) 872-9422 | Pressley Ridge 8501 Lasalle Road Suite 200 Towson MD 21286-5914 Ph: (667) 206-5210 |
| NPI Number | 1912455320 |
|---|---|
| Provider Enumeration Date | 09/14/2016 |
| Last Update Date | 10/25/2019 |
| Medicare PECOS PAC ID | 5395022263 |
|---|---|
| Medicare Enrollment ID | O20170502000485 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912455320 | NPI | - | NPPES |
| 962451101 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1492 (Maryland) | Primary |
| Provider Name | Yves A Edouard |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447314935 PECOS PAC ID: 8224296256 Enrollment ID: I20120222000800 |
| Provider Name | Lisa D Sutton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700298197 PECOS PAC ID: 6103127931 Enrollment ID: I20151221000022 |
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