| Center Pointe Counseling Services, Llc | |
|
6504 Grainger Ter Upper Marlboro MD 20772-4835 | |
| (240) 988-6880 | |
| Not Available |
| Full Name | Center Pointe Counseling Services, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 6504 Grainger Ter, Upper Marlboro, Maryland |
| Authorized Official Name and Position | Jacqueline Payne-borden (OWNER) |
| Authorized Official Contact | 2409886880 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center Pointe Counseling Services, Llc 6504 Grainger Ter Upper Marlboro MD 20772-4835 Ph: (240) 988-6880 | Center Pointe Counseling Services, Llc 6504 Grainger Ter Upper Marlboro MD 20772-4835 Ph: (240) 988-6880 |
| NPI Number | 1598595050 |
|---|---|
| Provider Enumeration Date | 08/07/2024 |
| Last Update Date | 10/24/2024 |
| Certification Date | 10/24/2024 |
| Medicare PECOS PAC ID | 4880116763 |
|---|---|
| Medicare Enrollment ID | O20250320001031 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598595050 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Jacqueline Angella Payne-borden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477758506 PECOS PAC ID: 9537223441 Enrollment ID: I20250320001270 |
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