| Villa Maria Aa County | |
|
1111 Benfield Blvd Ste 200-220 Millersville MD 21108-3002 | |
| (667) 600-2494 | |
| Not Available |
| Full Name | Villa Maria Aa County |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1111 Benfield Blvd Ste 200-220, Millersville, Maryland |
| Authorized Official Name and Position | Gloria Reeves (A/R AND BILLING MANAGER) |
| Authorized Official Contact | 6676002249 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Villa Maria Aa County 2300 Dulaney Valley Rd Ste B Timonium MD 21093-2739 Ph: (667) 600-2249 | Villa Maria Aa County 1111 Benfield Blvd Ste 200-220 Millersville MD 21108-3002 Ph: (667) 600-2494 |
| NPI Number | 1336265628 |
|---|---|
| Provider Enumeration Date | 03/21/2007 |
| Last Update Date | 08/15/2024 |
| Certification Date | 07/31/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336265628 | NPI | - | NPPES |
| 110171414 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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