| Mindscape Psychiatry | |
|
324 Main St. #523 Laurel MD 20707 | |
| (816) 301-4135 | |
| Not Available |
| Full Name | Mindscape Psychiatry |
|---|---|
| Speciality | Clinic/Center |
| Location | 324 Main St. #523, Laurel, Maryland |
| Authorized Official Name and Position | Amanda Felix (OWNER) |
| Authorized Official Contact | 4024844226 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindscape Psychiatry 324 Main St Unit 523 Laurel MD 20725-7522 Ph: () - | Mindscape Psychiatry 324 Main St. #523 Laurel MD 20707 Ph: (816) 301-4135 |
| NPI Number | 1538701859 |
|---|---|
| Provider Enumeration Date | 10/09/2019 |
| Last Update Date | 10/14/2021 |
| Medicare PECOS PAC ID | 3678983053 |
|---|---|
| Medicare Enrollment ID | O20201113002591 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538701859 | NPI | - | NPPES |
| Provider Name | Amanda Felix |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750932430 PECOS PAC ID: 8628131968 Enrollment ID: I20191227000990 |
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