| Abc, Inc. | |
|
1400 Mercantile Ln Suite 206 Largo MD 20774-5341 | |
| (301) 386-7722 | |
| (301) 386-7789 |
| Full Name | Abc, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1400 Mercantile Ln, Largo, Maryland |
| Authorized Official Name and Position | Christine Daniel Williams (CEO) |
| Authorized Official Contact | 3013867722 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Abc, Inc. 1400 Mercantile Ln Suite 206 Largo MD 20774-5341 Ph: (301) 386-7722 | Abc, Inc. 1400 Mercantile Ln Suite 206 Largo MD 20774-5341 Ph: (301) 386-7722 |
| NPI Number | 1386772903 |
|---|---|
| Provider Enumeration Date | 03/02/2007 |
| Last Update Date | 06/04/2009 |
| Medicare PECOS PAC ID | 9234463308 |
|---|---|
| Medicare Enrollment ID | O20190624000899 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386772903 | NPI | - | NPPES |
| 037010700 | Medicaid | DC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Atlener Artis-trower |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275507261 PECOS PAC ID: 6002836996 Enrollment ID: I20051207000362 |
| Provider Name | Dida K Ganjoo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265451470 PECOS PAC ID: 4688611874 Enrollment ID: I20070601000350 |
| Provider Name | Raymond A Ofe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003168964 PECOS PAC ID: 6204149693 Enrollment ID: I20150714001538 |
| Provider Name | Stephanie Renee Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023248226 PECOS PAC ID: 6507905379 Enrollment ID: I20190711001530 |
Partner Suites Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 Mercantile Ln, Suite 208, Largo, MD 20774 Phone: 301-627-4777 Fax: 301-627-8939 | |
Avenel Holistic Health Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1300 Mercantile Ln Ste 142, Largo, MD 20774 Phone: 240-451-8300 Fax: 240-451-8305 | |
Prestige Healthcare Resources Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9500 Medical Center Dr Ste 104, Largo, MD 20774 Phone: 240-269-7374 | |
Because We Care Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9701 Apollo Dr Ste 410, Largo, MD 20774 Phone: 240-573-7159 | |
Sonja Williams And Associates, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9701 Apollo Dr Ste 491, Largo, MD 20774 Phone: 301-386-5511 | |
Metropolitan Behavioral Health Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1401 Mercantile Ln Ste 423, Largo, MD 20774 Phone: 301-851-5954 Fax: 301-851-5932 | |
Center For Therapeutic Concepts, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1300 Mercantile Ln, Suite 200, Largo, MD 20774 Phone: 301-386-2991 Fax: 301-386-1944 |