| Divine Wellness And Psychiatric Services | |
|
9220 Sewall Ave Laurel MD 20723-1889 | |
| (301) 665-0662 | |
| (443) 535-1784 |
| Full Name | Divine Wellness And Psychiatric Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 9220 Sewall Ave, Laurel, Maryland |
| Authorized Official Name and Position | Oladoyin Adekola (PRESIDENT) |
| Authorized Official Contact | 2404231872 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Divine Wellness And Psychiatric Services 9220 Sewall Ave Laurel MD 20723-1889 Ph: (240) 423-1872 | Divine Wellness And Psychiatric Services 9220 Sewall Ave Laurel MD 20723-1889 Ph: (301) 665-0662 |
| NPI Number | 1265110084 |
|---|---|
| Provider Enumeration Date | 07/11/2023 |
| Last Update Date | 07/11/2023 |
| Medicare PECOS PAC ID | 5092176966 |
|---|---|
| Medicare Enrollment ID | O20230726000254 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265110084 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Oladoyin Adekola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205547262 PECOS PAC ID: 3274999263 Enrollment ID: I20230726000330 |
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