Vesta Inc | |
22685 Three Notch Rd Ste 200 California MD 20619-3152 | |
(301) 863-4543 | |
(301) 863-4542 |
Full Name | Vesta Inc |
---|---|
Speciality | Community/behavioral Health |
Location | 22685 Three Notch Rd Ste 200, California, Maryland |
Authorized Official Name and Position | Lorena Memberg (DIRECTOR OF FINANCE) |
Authorized Official Contact | 2402966333 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Vesta Inc 9301 Annapolis Rd Suite 300 Lanham MD 20706-3115 Ph: (240) 296-5930 | Vesta Inc 22685 Three Notch Rd Ste 200 California MD 20619-3152 Ph: (301) 863-4543 |
NPI Number | 1134419294 |
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Provider Enumeration Date | 04/11/2011 |
Last Update Date | 04/27/2023 |
Certification Date | 04/27/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134419294 | NPI | - | NPPES |
260991610 | Medicaid | MD | |
949L | Other | MD | MEDICARE |
1134419294 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 5053 (Maryland) | Primary |
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Vesta Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 22685 Three Notch Rd Ste 200, California, MD 20619 Phone: 301-863-4543 Fax: 301-863-4542 | |
Personalized Therapy, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 22593 Three Notch Rd, California, MD 20619 Phone: 301-862-2505 Fax: 301-862-2548 |