| Superbloom Psychiatry Llc | |
|
301 Main St Ste 2d Reisterstown MD 21136-1957 | |
| (443) 203-8613 | |
| Not Available |
| Full Name | Superbloom Psychiatry Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 301 Main St Ste 2d, Reisterstown, Maryland |
| Authorized Official Name and Position | Meredith West (PSYCHIATRIC NURSE PRACTITIONER) |
| Authorized Official Contact | 9125967573 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Superbloom Psychiatry Llc 7 Saxony Ct Pikesville MD 21208-3319 Ph: (912) 596-7573 | Superbloom Psychiatry Llc 301 Main St Ste 2d Reisterstown MD 21136-1957 Ph: (443) 203-8613 |
| NPI Number | 1790523173 |
|---|---|
| Provider Enumeration Date | 07/18/2024 |
| Last Update Date | 07/18/2024 |
| Certification Date | 07/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790523173 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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