| Newlife Aspiration Behavioural Services, Llc | |
|
9408 Morning Walk Dr Hagerstown MD 21740-1484 | |
| (703) 474-6362 | |
| Not Available |
| Full Name | Newlife Aspiration Behavioural Services, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 9408 Morning Walk Dr, Hagerstown, Maryland |
| Authorized Official Name and Position | Chinyere Millicent Ugwanyi (NURSE PRACTITIONER) |
| Authorized Official Contact | 7034746362 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Newlife Aspiration Behavioural Services, Llc 9408 Morning Walk Dr Hagerstown MD 21740-1484 Ph: (703) 474-6362 | Newlife Aspiration Behavioural Services, Llc 9408 Morning Walk Dr Hagerstown MD 21740-1484 Ph: (703) 474-6362 |
| NPI Number | 1063037943 |
|---|---|
| Provider Enumeration Date | 06/16/2020 |
| Last Update Date | 06/16/2020 |
| Certification Date | 06/16/2020 |
| Medicare PECOS PAC ID | 7012335698 |
|---|---|
| Medicare Enrollment ID | O20200914001867 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063037943 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Chinyere Ugwanyi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063831212 PECOS PAC ID: 5597988592 Enrollment ID: I20190524000120 |
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