| Bbhcn | |
|
3242 Esther Pl Baltimore MD 21224-1431 | |
| (410) 725-1435 | |
| Not Available |
| Full Name | Bbhcn |
|---|---|
| Speciality | Clinic/Center |
| Location | 3242 Esther Pl, Baltimore, Maryland |
| Authorized Official Name and Position | Kristy Teresa Godwin (OWNER) |
| Authorized Official Contact | 4436514019 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bbhcn 13603 Mary Bowie Pkwy Upper Marlboro MD 20774-9075 Ph: (443) 651-4019 | Bbhcn 3242 Esther Pl Baltimore MD 21224-1431 Ph: (410) 725-1435 |
| NPI Number | 1063074839 |
|---|---|
| Provider Enumeration Date | 07/02/2019 |
| Last Update Date | 07/12/2022 |
| Certification Date | 07/12/2022 |
| Medicare PECOS PAC ID | 9638588346 |
|---|---|
| Medicare Enrollment ID | O20210511000166 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063074839 | NPI | - | NPPES |
| Provider Name | Blanche Kattie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013426824 PECOS PAC ID: 3274899711 Enrollment ID: I20191127001708 |
| Provider Name | Atesha Woods |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427202530 PECOS PAC ID: 5395174536 Enrollment ID: I20200409000330 |
| Provider Name | Brittany P Harris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700303682 PECOS PAC ID: 3577972033 Enrollment ID: I20210513000140 |
| Provider Name | Alayna Casanova |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174996110 PECOS PAC ID: 4587063862 Enrollment ID: I20210519002069 |
| Provider Name | Chiamaka Nnah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205587284 PECOS PAC ID: 1557758315 Enrollment ID: I20220425002739 |
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