| Luminis Health Pathways, Inc. | |
|
2620 Riva Rd Annapolis MD 21401-7305 | |
| (443) 481-6695 | |
| Not Available |
| Full Name | Luminis Health Pathways, Inc. |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 2620 Riva Rd, Annapolis, Maryland |
| Authorized Official Name and Position | Catherine Yurkon (VICE PRESIDENT - FINANCE) |
| Authorized Official Contact | 4434811644 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Luminis Health Pathways, Inc. 2620 Riva Rd Annapolis MD 21401-7305 Ph: (443) 481-6695 | Luminis Health Pathways, Inc. 2620 Riva Rd Annapolis MD 21401-7305 Ph: (443) 481-6695 |
| NPI Number | 1497276752 |
|---|---|
| Provider Enumeration Date | 06/27/2017 |
| Last Update Date | 07/21/2022 |
| Certification Date | 05/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497276752 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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