| Bluntly Coached, Llc | |
|
11779 Somerset Ave Ste 12 Princess Anne MD 21853-1271 | |
| (443) 754-2164 | |
| (866) 993-1076 |
| Full Name | Bluntly Coached, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 11779 Somerset Ave Ste 12, Princess Anne, Maryland |
| Authorized Official Name and Position | Ganiyat Badmus (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 4437542164 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bluntly Coached, Llc 11779 Somerset Ave Ste 12 Princess Anne MD 21853-1271 Ph: (443) 754-2164 | Bluntly Coached, Llc 11779 Somerset Ave Ste 12 Princess Anne MD 21853-1271 Ph: (443) 754-2164 |
| NPI Number | 1831657956 |
|---|---|
| Provider Enumeration Date | 03/07/2019 |
| Last Update Date | 01/09/2020 |
| Certification Date | 01/09/2020 |
| Medicare PECOS PAC ID | 0749510428 |
|---|---|
| Medicare Enrollment ID | O20190923002548 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831657956 | NPI | - | NPPES |
| 302168800 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Ganiyat Halle Badmus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073891263 PECOS PAC ID: 1658601331 Enrollment ID: I20190925002264 |
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