| Golden Warmth Behavioral Health | |
|
12412 Dorsey Ln Upper Marlboro MD 20772-5372 | |
| (202) 413-6929 | |
| Not Available |
| Full Name | Golden Warmth Behavioral Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 12412 Dorsey Ln, Upper Marlboro, Maryland |
| Authorized Official Name and Position | Clementine Okie (PMHNP) |
| Authorized Official Contact | 2024136929 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Golden Warmth Behavioral Health 12412 Dorsey Ln Upper Marlboro MD 20772-5372 Ph: () - | Golden Warmth Behavioral Health 12412 Dorsey Ln Upper Marlboro MD 20772-5372 Ph: (202) 413-6929 |
| NPI Number | 1083441364 |
|---|---|
| Provider Enumeration Date | 09/19/2024 |
| Last Update Date | 09/19/2024 |
| Certification Date | 09/19/2024 |
| Medicare PECOS PAC ID | 3870022734 |
|---|---|
| Medicare Enrollment ID | O20250122003379 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083441364 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Clementine Okie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205468030 PECOS PAC ID: 4789113648 Enrollment ID: I20250122003463 |
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