Sensible Minds | |
2212 E Monument St Baltimore MD 21205-2420 | |
(443) 534-8651 | |
Not Available |
Full Name | Sensible Minds |
---|---|
Speciality | Community/Behavioral Health |
Location | 2212 E Monument St, Baltimore, Maryland |
Authorized Official Name and Position | Ibukunoluwa Ayanleye (AUTHORIZED REPRESENTATIVE/SOLE OWNE) |
Authorized Official Contact | 4435348651 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Sensible Minds 1942 Palonia Ct Odenton MD 21113-2929 Ph: () - | Sensible Minds 2212 E Monument St Baltimore MD 21205-2420 Ph: (443) 534-8651 |
NPI Number | 1922708171 |
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Provider Enumeration Date | 03/07/2023 |
Last Update Date | 07/06/2023 |
Certification Date | 07/06/2023 |
Medicare PECOS PAC ID | 7911367602 |
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Medicare Enrollment ID | O20230712004583 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922708171 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Provider Name | Ibukunoluwa Ayanleye |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265138853 PECOS PAC ID: 8820458516 Enrollment ID: I20230712004626 |
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