| Strategic Wellness Advocates Llc | |
|
2901 Druid Park Dr Ste 303ab&c Baltimore MD 21215-8102 | |
| (202) 669-6848 | |
| Not Available |
| Full Name | Strategic Wellness Advocates Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2901 Druid Park Dr Ste 303ab&c, Baltimore, Maryland |
| Authorized Official Name and Position | Sonny Imoudu Edwards-saliu (PROGRAM DIRECTOR & CEO) |
| Authorized Official Contact | 4438693660 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Strategic Wellness Advocates Llc 2901 Druid Park Dr Ste 303abc Baltimore MD 21215-8102 Ph: (443) 869-3660 | Strategic Wellness Advocates Llc 2901 Druid Park Dr Ste 303ab&c Baltimore MD 21215-8102 Ph: (202) 669-6848 |
| NPI Number | 1659056893 |
|---|---|
| Provider Enumeration Date | 06/15/2023 |
| Last Update Date | 07/05/2023 |
| Certification Date | 07/05/2023 |
| Medicare PECOS PAC ID | 6204290661 |
|---|---|
| Medicare Enrollment ID | O20230919000174 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659056893 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Sylivia U Acholonu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316336498 PECOS PAC ID: 1153635750 Enrollment ID: I20150804003096 |
| Provider Name | Labake G Ogunnupe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336704584 PECOS PAC ID: 9638402209 Enrollment ID: I20190613001374 |
| Provider Name | Chimene Kiswey Diomi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578076634 PECOS PAC ID: 3577985175 Enrollment ID: I20200629001896 |
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