| Prolific Health Programs, Llc | |
|
1005 Northpoint Blvd Ste 707 Baltimore MD 21224-3402 | |
| (443) 422-7849 | |
| Not Available |
| Full Name | Prolific Health Programs, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1005 Northpoint Blvd Ste 707, Baltimore, Maryland |
| Authorized Official Name and Position | Raquel Lyons (OWNER) |
| Authorized Official Contact | 4434227849 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prolific Health Programs, Llc 1005 Northpoint Blvd Ste 707 Baltimore MD 21224-3402 Ph: (443) 422-7849 | Prolific Health Programs, Llc 1005 Northpoint Blvd Ste 707 Baltimore MD 21224-3402 Ph: (443) 422-7849 |
| NPI Number | 1992491385 |
|---|---|
| Provider Enumeration Date | 04/18/2023 |
| Last Update Date | 04/18/2023 |
| Certification Date | 04/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992491385 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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