| Luminis Health Behavioral Health Services, Llc | |
|
8200 Good Luck Rd Lanham MD 20706-3511 | |
| (301) 623-4350 | |
| (301) 623-4351 |
| Full Name | Luminis Health Behavioral Health Services, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 8200 Good Luck Rd, Lanham, Maryland |
| Authorized Official Name and Position | Peter Odenwald (COO) |
| Authorized Official Contact | 4434816415 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Luminis Health Behavioral Health Services, Llc 2000 Medical Pkwy Ste 606 Annapolis MD 21401-3748 Ph: () - | Luminis Health Behavioral Health Services, Llc 8200 Good Luck Rd Lanham MD 20706-3511 Ph: (301) 623-4350 |
| NPI Number | 1750042362 |
|---|---|
| Provider Enumeration Date | 01/05/2022 |
| Last Update Date | 12/01/2022 |
| Certification Date | 12/01/2022 |
| Medicare PECOS PAC ID | 0042695744 |
|---|---|
| Medicare Enrollment ID | O20220916000431 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750042362 | NPI | - | NPPES |
| 000000 | Medicaid | MD |
| Provider Name | Eric Anderson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588642599 PECOS PAC ID: 6608920848 Enrollment ID: I20220914002411 |
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