| Halyard Behavioral Health & Wellness, Pllc | |
|
2415 Maryland Ave Baltimore MD 21218-5017 | |
| (240) 718-8274 | |
| Not Available |
| Full Name | Halyard Behavioral Health & Wellness, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2415 Maryland Ave, Baltimore, Maryland |
| Authorized Official Name and Position | Tashica Monique Halyard (OWNER/CLINICAL DIRECTOR) |
| Authorized Official Contact | 2815083604 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Halyard Behavioral Health & Wellness, Pllc 2415 Maryland Ave Baltimore MD 21218-5017 Ph: (281) 508-3604 | Halyard Behavioral Health & Wellness, Pllc 2415 Maryland Ave Baltimore MD 21218-5017 Ph: (240) 718-8274 |
| NPI Number | 1255974721 |
|---|---|
| Provider Enumeration Date | 10/28/2019 |
| Last Update Date | 03/21/2025 |
| Certification Date | 03/21/2025 |
| Medicare PECOS PAC ID | 4880016062 |
|---|---|
| Medicare Enrollment ID | O20200616002076 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255974721 | NPI | - | NPPES |
| 184082701 | Medicaid | MD |
| Provider Name | Daphne Ruth Bolden |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1073861886 PECOS PAC ID: 0446550040 Enrollment ID: I20151204000052 |
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