Divine Health Psychiatric Services Llc in Reisterstown, MD

Divine Health Psychiatric Services Llc is a medicare enrolled primary clinic (Clinic/center - Multi-specialty) in Reisterstown, Maryland. The current practice location for Divine Health Psychiatric Services Llc is 117 E Cherry Hill Rd, Reisterstown, Maryland. For appointments, you can reach them via phone at (443) 204-3919. The mailing address for Divine Health Psychiatric Services Llc is 117 E Cherry Hill Rd, Reisterstown, Maryland and phone number is (443) 204-3919.

Divine Health Psychiatric Services Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1447930706. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (443) 204-3919.

Contact Information

	Divine Health Psychiatric Services Llc
	117 E Cherry Hill Rd Reisterstown MD 21136-3023
	(443) 204-3919
	(410) 521-3671

Map and Direction

Primary Care Clinic Profile

Full Name	Divine Health Psychiatric Services Llc
Speciality	Clinic/Center
Location	117 E Cherry Hill Rd, Reisterstown, Maryland
Authorized Official Name and Position	Emmanuel Gbala (PRESIDENT)
Authorized Official Contact	4432043919
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Divine Health Psychiatric Services Llc 117 E Cherry Hill Rd Reisterstown MD 21136-3023 Ph: (443) 204-3919	Divine Health Psychiatric Services Llc 117 E Cherry Hill Rd Reisterstown MD 21136-3023 Ph: (443) 204-3919

NPI Details:

NPI Number	1447930706
Provider Enumeration Date	07/21/2023
Last Update Date	07/21/2023

Medicare PECOS Information:

Medicare PECOS PAC ID	1153782487
Medicare Enrollment ID	O20230802001518

Medical Identifiers

Medical identifiers for Divine Health Psychiatric Services Llc such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447930706	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QM1300X	Clinic/center - Multi-specialty	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Divine Health Psychiatric Services Llc acts as a billing entity for following providers:

Provider Name	Emmanuel A Gbala
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1245862648 PECOS PAC ID: 5890181416 Enrollment ID: I20220407002738

Reviews and Comments

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Divine Health Psychiatric Services Llc - Medicare Primary Care in Reisterstown, MD