| Unique Minds Behavioral Health Services, Llc | |
|
6810 Park Heights Ave # C6 Baltimore MD 21215-1641 | |
| (443) 538-8400 | |
| Not Available |
| Full Name | Unique Minds Behavioral Health Services, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 6810 Park Heights Ave # C6, Baltimore, Maryland |
| Authorized Official Name and Position | Victorine Ngang (OWNER) |
| Authorized Official Contact | 3014379937 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Unique Minds Behavioral Health Services, Llc 6810 Park Heights Ave # C6 Baltimore MD 21215-1641 Ph: (443) 538-8400 | Unique Minds Behavioral Health Services, Llc 6810 Park Heights Ave # C6 Baltimore MD 21215-1641 Ph: (443) 538-8400 |
| NPI Number | 1609484039 |
|---|---|
| Provider Enumeration Date | 07/22/2020 |
| Last Update Date | 07/22/2020 |
| Certification Date | 07/22/2020 |
| Medicare PECOS PAC ID | 6507283363 |
|---|---|
| Medicare Enrollment ID | O20200826000086 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609484039 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Victorine A Ngang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669930996 PECOS PAC ID: 8527394899 Enrollment ID: I20200521002671 |
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