Total Wellness Mental Health Clinic Llc | |
2504 Highcrest Ct Manchester MD 21102-1413 | |
(443) 895-0898 | |
Not Available |
Full Name | Total Wellness Mental Health Clinic Llc |
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Speciality | Clinic/Center |
Location | 2504 Highcrest Ct, Manchester, Maryland |
Authorized Official Name and Position | Cynthia Ekwutife (PRESIDENT) |
Authorized Official Contact | 4438950898 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Total Wellness Mental Health Clinic Llc 2504 Highcrest Ct Manchester MD 21102-1413 Ph: (443) 895-0898 | Total Wellness Mental Health Clinic Llc 2504 Highcrest Ct Manchester MD 21102-1413 Ph: (443) 895-0898 |
NPI Number | 1467225581 |
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Provider Enumeration Date | 10/31/2023 |
Last Update Date | 10/31/2023 |
Certification Date | 10/31/2023 |
Medicare PECOS PAC ID | 8123475431 |
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Medicare Enrollment ID | O20231108001314 |
Identifier | Type | State | Issuer |
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1467225581 | NPI | - | NPPES |
Provider Name | Cynthia Ekwutife |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194364588 PECOS PAC ID: 0042635633 Enrollment ID: I20231108001420 |
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