Well Of Hope Mental Health Services | |
499c Beaumont Ave Apt 18 Baltimore MD 21212-4355 | |
(443) 803-4338 | |
Not Available |
Full Name | Well Of Hope Mental Health Services |
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Speciality | Clinic/Center |
Location | 499c Beaumont Ave Apt 18, Baltimore, Maryland |
Authorized Official Name and Position | Yetunde Oladimeji-stevens (OWNER) |
Authorized Official Contact | 4438034338 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Well Of Hope Mental Health Services 4309 Adkisson Ln Owings Mills MD 21117-6974 Ph: (443) 803-4338 | Well Of Hope Mental Health Services 499c Beaumont Ave Apt 18 Baltimore MD 21212-4355 Ph: (443) 803-4338 |
NPI Number | 1497522338 |
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Provider Enumeration Date | 12/11/2023 |
Last Update Date | 08/21/2024 |
Certification Date | 08/21/2024 |
Medicare PECOS PAC ID | 9234673575 |
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Medicare Enrollment ID | O20240627003284 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497522338 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Provider Name | Yetunde Oladimeji-stevens |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225712318 PECOS PAC ID: 0941640841 Enrollment ID: I20240425001628 |
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