| Mercymary Behavioral Health Llc | |
|
9801 Greenbelt Rd Lanham MD 20706-2273 | |
| (443) 559-1875 | |
| Not Available |
| Full Name | Mercymary Behavioral Health Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 9801 Greenbelt Rd, Lanham, Maryland |
| Authorized Official Name and Position | Stella Agunenye (PROVIDER) |
| Authorized Official Contact | 4435591875 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercymary Behavioral Health Llc 9801 Greenbelt Rd Lanham MD 20706-2273 Ph: (443) 559-1875 | Mercymary Behavioral Health Llc 9801 Greenbelt Rd Lanham MD 20706-2273 Ph: (443) 559-1875 |
| NPI Number | 1891410569 |
|---|---|
| Provider Enumeration Date | 10/05/2022 |
| Last Update Date | 10/05/2022 |
| Certification Date | 10/05/2022 |
| Medicare PECOS PAC ID | 2567835218 |
|---|---|
| Medicare Enrollment ID | O20230301000225 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891410569 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Stella Agunenye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417523432 PECOS PAC ID: 3476926122 Enrollment ID: I20230322001613 |
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