| Harcon LLC | |
|
6918 Ridge Rd Ste B101 Rosedale MD 21237-3854 | |
| (443) 902-5460 | |
| Not Available |
| Full Name | Harcon LLC |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 6918 Ridge Rd Ste B101, Rosedale, Maryland |
| Authorized Official Name and Position | Vaughn Edwin Harvey (PRESIDENT) |
| Authorized Official Contact | 4439025460 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Harcon LLC 6918 Ridge Rd Ste B101 Rosedale MD 21237-3854 Ph: (443) 902-5460 | Harcon LLC 6918 Ridge Rd Ste B101 Rosedale MD 21237-3854 Ph: (443) 902-5460 |
| NPI Number | 1265938666 |
|---|---|
| Provider Enumeration Date | 04/04/2018 |
| Last Update Date | 07/29/2025 |
| Certification Date | 07/29/2025 |
| Medicare PECOS PAC ID | 5890202394 |
|---|---|
| Medicare Enrollment ID | O20250729003823 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265938666 | NPI | - | NPPES |
| Provider Name | Vaughn Edwin Harvey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275076531 PECOS PAC ID: 6709393200 Enrollment ID: I20250729004578 |
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