| Devoted Wellness And Counseling Services Llc | |
|
28 W Washington St Ste 2 Hagerstown MD 21740-6688 | |
| (301) 247-9039 | |
| Not Available |
| Full Name | Devoted Wellness And Counseling Services Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 28 W Washington St Ste 2, Hagerstown, Maryland |
| Authorized Official Name and Position | Seraphine Agbor (OWNER) |
| Authorized Official Contact | 3012479039 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Devoted Wellness And Counseling Services Llc 28 W Washington St Ste 2 Hagerstown MD 21740-6688 Ph: (301) 247-9039 | Devoted Wellness And Counseling Services Llc 28 W Washington St Ste 2 Hagerstown MD 21740-6688 Ph: (301) 247-9039 |
| NPI Number | 1083294912 |
|---|---|
| Provider Enumeration Date | 04/13/2021 |
| Last Update Date | 11/20/2021 |
| Certification Date | 11/20/2021 |
| Medicare PECOS PAC ID | 4183035389 |
|---|---|
| Medicare Enrollment ID | O20230515000311 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083294912 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Seraphine Agbor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427690395 PECOS PAC ID: 9638580830 Enrollment ID: I20230515000405 |
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