| Jtc Behavioral Health Services | |
|
8700 Central Ave Ste 300 Landover MD 20785-4853 | |
| (301) 456-8766 | |
| (240) 619-4916 |
| Full Name | Jtc Behavioral Health Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 8700 Central Ave Ste 300, Landover, Maryland |
| Authorized Official Name and Position | John Ihueze Iheoma (CEO) |
| Authorized Official Contact | 4438579193 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jtc Behavioral Health Services 8700 Central Ave Ste 300 Landover MD 20785-4853 Ph: (443) 857-9193 | Jtc Behavioral Health Services 8700 Central Ave Ste 300 Landover MD 20785-4853 Ph: (301) 456-8766 |
| NPI Number | 1134866064 |
|---|---|
| Provider Enumeration Date | 05/12/2022 |
| Last Update Date | 07/07/2025 |
| Certification Date | 07/02/2025 |
| Medicare PECOS PAC ID | 6103363551 |
|---|---|
| Medicare Enrollment ID | O20240802000481 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134866064 | NPI | - | NPPES |
| 124597639 | Other | MD | NPPES |
| Provider Name | Lawrencia Oluchi Ugochukwu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306569637 PECOS PAC ID: 9739547225 Enrollment ID: I20230615000016 |
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