| Infinity Mental Health | |
|
9056 Fox Stream Way Upper Marlboro MD 20772-2556 | |
| (202) 843-7622 | |
| (240) 306-1219 |
| Full Name | Infinity Mental Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 9056 Fox Stream Way, Upper Marlboro, Maryland |
| Authorized Official Name and Position | Angela White (FOUNDER) |
| Authorized Official Contact | 3017062374 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Infinity Mental Health 9056 Fox Stream Way Upper Marlboro MD 20772-2556 Ph: (202) 843-7622 | Infinity Mental Health 9056 Fox Stream Way Upper Marlboro MD 20772-2556 Ph: (202) 843-7622 |
| NPI Number | 1932705209 |
|---|---|
| Provider Enumeration Date | 12/10/2020 |
| Last Update Date | 01/28/2022 |
| Certification Date | 01/28/2022 |
| Medicare PECOS PAC ID | 4385037779 |
|---|---|
| Medicare Enrollment ID | O20220207002585 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932705209 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
| Provider Name | Angela White |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790158814 PECOS PAC ID: 5294128682 Enrollment ID: I20220207002592 |
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