| Omj & Associates Llc | |
|
1308 Business Center Way Ste 101 Edgewood MD 21040-1504 | |
| (443) 271-5021 | |
| Not Available |
| Full Name | Omj & Associates Llc |
|---|---|
| Speciality | Counselor |
| Location | 1308 Business Center Way Ste 101, Edgewood, Maryland |
| Authorized Official Name and Position | Tymeka Dawan Jones (OWNER) |
| Authorized Official Contact | 4432715021 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Omj & Associates Llc 5105 Hillburn Ave Baltimore MD 21206-4130 Ph: (443) 271-5021 | Omj & Associates Llc 1308 Business Center Way Ste 101 Edgewood MD 21040-1504 Ph: (443) 271-5021 |
| NPI Number | 1114428075 |
|---|---|
| Provider Enumeration Date | 02/26/2018 |
| Last Update Date | 02/26/2018 |
| Medicare PECOS PAC ID | 0143649855 |
|---|---|
| Medicare Enrollment ID | O20200930000831 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114428075 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 17112 (Maryland) | Primary |
| Provider Name | Tymeka D. Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053731240 PECOS PAC ID: 1052730769 Enrollment ID: I20200930000990 |
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