| Promise Acres Wellness Center | |
|
8850 Stanford Blvd Ste 2900 Columbia MD 21045-4793 | |
| (443) 898-3708 | |
| Not Available |
| Full Name | Promise Acres Wellness Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 8850 Stanford Blvd Ste 2900, Columbia, Maryland |
| Authorized Official Name and Position | Millicent Chukwuka (PROVIDER) |
| Authorized Official Contact | 4438983708 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Promise Acres Wellness Center 8850 Stanford Blvd Ste 2900 Columbia MD 21045-4793 Ph: (443) 898-3708 | Promise Acres Wellness Center 8850 Stanford Blvd Ste 2900 Columbia MD 21045-4793 Ph: (443) 898-3708 |
| NPI Number | 1619748373 |
|---|---|
| Provider Enumeration Date | 01/11/2024 |
| Last Update Date | 03/26/2025 |
| Certification Date | 03/26/2025 |
| Medicare PECOS PAC ID | 8123470499 |
|---|---|
| Medicare Enrollment ID | O20240123001092 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619748373 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Millicent Lotam Chukwuka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255935094 PECOS PAC ID: 5395124069 Enrollment ID: I20220627001936 |
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