| Emros Behavioral Healthcare Services Llc | |
|
700 Henderson Rd Bel Air MD 21014-2515 | |
| (443) 655-9931 | |
| (410) 638-1912 |
| Full Name | Emros Behavioral Healthcare Services Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 700 Henderson Rd, Bel Air, Maryland |
| Authorized Official Name and Position | Emil Kwabla Fiasorgbor (PSYCHIATRIC NURSE PRACTITONER) |
| Authorized Official Contact | 4436559931 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Emros Behavioral Healthcare Services Llc 700 Henderson Rd Bel Air MD 21014-2515 Ph: (443) 655-9931 | Emros Behavioral Healthcare Services Llc 700 Henderson Rd Bel Air MD 21014-2515 Ph: (443) 655-9931 |
| NPI Number | 1992327068 |
|---|---|
| Provider Enumeration Date | 05/12/2020 |
| Last Update Date | 05/12/2020 |
| Certification Date | 05/12/2020 |
| Medicare PECOS PAC ID | 4385065549 |
|---|---|
| Medicare Enrollment ID | O20200527000731 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992327068 | NPI | - | NPPES |
| 791275 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Emil K Fiasorgbor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659831808 PECOS PAC ID: 5496096539 Enrollment ID: I20190501001871 |
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