| Moral Peak Mental Health & Wellness, Llc. | |
|
1417 Winter Pine Trl Severn MD 21144-1506 | |
| (301) 675-6471 | |
| Not Available |
| Full Name | Moral Peak Mental Health & Wellness, Llc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1417 Winter Pine Trl, Severn, Maryland |
| Authorized Official Name and Position | Kassandra Dickens (PROVIDER) |
| Authorized Official Contact | 3016756471 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Moral Peak Mental Health & Wellness, Llc. 1417 Winter Pine Trl Severn MD 21144-1506 Ph: (301) 675-6471 | Moral Peak Mental Health & Wellness, Llc. 1417 Winter Pine Trl Severn MD 21144-1506 Ph: (301) 675-6471 |
| NPI Number | 1518625219 |
|---|---|
| Provider Enumeration Date | 11/30/2021 |
| Last Update Date | 04/18/2022 |
| Medicare PECOS PAC ID | 4688060569 |
|---|---|
| Medicare Enrollment ID | O20220331002512 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518625219 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Kassandra A Dickens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871890301 PECOS PAC ID: 7719163278 Enrollment ID: I20110517000711 |
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