| Prudent Behavioral And Wellness Health Llc | |
|
2107 Belfry Ln Bowie MD 20721-2253 | |
| (240) 203-6421 | |
| Not Available |
| Full Name | Prudent Behavioral And Wellness Health Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2107 Belfry Ln, Bowie, Maryland |
| Authorized Official Name and Position | Ngozi Amadi-obi (PRESIDENT) |
| Authorized Official Contact | 2406435638 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prudent Behavioral And Wellness Health Llc 2107 Belfry Ln Bowie MD 20721-2253 Ph: (240) 203-6421 | Prudent Behavioral And Wellness Health Llc 2107 Belfry Ln Bowie MD 20721-2253 Ph: (240) 203-6421 |
| NPI Number | 1528764453 |
|---|---|
| Provider Enumeration Date | 02/02/2023 |
| Last Update Date | 02/02/2023 |
| Certification Date | 02/02/2023 |
| Medicare PECOS PAC ID | 3870965023 |
|---|---|
| Medicare Enrollment ID | O20230216000377 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528764453 | NPI | - | NPPES |
| Provider Name | Ngozi B Amadi-obi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437799582 PECOS PAC ID: 4082009014 Enrollment ID: I20220309002717 |
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