Serenity Wellness Mental Health Center Llc | |
405 Frederick Rd Ste 11 Baltimore MD 21228-4607 | |
(443) 857-5355 | |
Not Available |
Full Name | Serenity Wellness Mental Health Center Llc |
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Speciality | Community/Behavioral Health |
Location | 405 Frederick Rd Ste 11, Baltimore, Maryland |
Authorized Official Name and Position | Chiamaka Nnah (CEO) |
Authorized Official Contact | 4438575355 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Serenity Wellness Mental Health Center Llc 3220 Ridgeway Pl Baltimore MD 21244-1021 Ph: () - | Serenity Wellness Mental Health Center Llc 405 Frederick Rd Ste 11 Baltimore MD 21228-4607 Ph: (443) 857-5355 |
NPI Number | 1194402248 |
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Provider Enumeration Date | 06/30/2023 |
Last Update Date | 12/03/2024 |
Certification Date | 12/03/2024 |
Medicare PECOS PAC ID | 8426406380 |
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Medicare Enrollment ID | O20231204000299 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194402248 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Secondary |
Provider Name | Chiamaka Nnah |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205587284 PECOS PAC ID: 1557758315 Enrollment ID: I20220425002739 |
Provider Name | Adanna Ikwuegbu |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982473625 PECOS PAC ID: 4880035658 Enrollment ID: I20240510000399 |
Provider Name | Risquat Betara-aliyu |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366208787 PECOS PAC ID: 8224575550 Enrollment ID: I20240805003116 |
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