Transcending Minds Mental Health Services Llc | |
16704 Sioux Ln Gaithersburg MD 20878-2045 | |
(202) 580-2087 | |
Not Available |
Full Name | Transcending Minds Mental Health Services Llc |
---|---|
Speciality | Social Worker |
Location | 16704 Sioux Ln, Gaithersburg, Maryland |
Authorized Official Name and Position | Monique Campbell (CEO) |
Authorized Official Contact | 2025802087 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Transcending Minds Mental Health Services Llc 16704 Sioux Ln Gaithersburg MD 20878-2045 Ph: (202) 580-2087 | Transcending Minds Mental Health Services Llc 16704 Sioux Ln Gaithersburg MD 20878-2045 Ph: (202) 580-2087 |
NPI Number | 1235728924 |
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Provider Enumeration Date | 01/16/2021 |
Last Update Date | 01/16/2021 |
Certification Date | 01/16/2021 |
Medicare PECOS PAC ID | 5799191920 |
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Medicare Enrollment ID | O20210312000066 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235728924 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Monique Campbell |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1811513302 PECOS PAC ID: 7315353547 Enrollment ID: I20210312000184 |
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