| Humanim Mental Health Services | |
|
6505 Ridenour Way E # 1a Eldersburg MD 21784-6557 | |
| (443) 300-6362 | |
| (667) 400-6110 |
| Full Name | Humanim Mental Health Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 6505 Ridenour Way E # 1a, Eldersburg, Maryland |
| Authorized Official Name and Position | Gale Britton (DIR OF BILLING) |
| Authorized Official Contact | 4103817171 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Humanim Mental Health Services Po Box 64275 Baltimore MD 21264-4275 Ph: (410) 381-7171 | Humanim Mental Health Services 6505 Ridenour Way E # 1a Eldersburg MD 21784-6557 Ph: (443) 300-6362 |
| NPI Number | 1629094990 |
|---|---|
| Provider Enumeration Date | 07/13/2006 |
| Last Update Date | 04/13/2023 |
| Medicare PECOS PAC ID | 5294713095 |
|---|---|
| Medicare Enrollment ID | O20040708001338 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629094990 | NPI | - | NPPES |
| 405765100 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Mark N Mollenhauer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851366264 PECOS PAC ID: 7012979537 Enrollment ID: I20041027001128 |
| Provider Name | Brett I Greenberger |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073591558 PECOS PAC ID: 5193779593 Enrollment ID: I20050309000224 |
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