| Release And Renew Mental Wellness Clinic | |
|
1301 York Rd Ste 800 Lutherville Timonium MD 21093-6011 | |
| (410) 376-8728 | |
| (410) 862-3774 |
| Full Name | Release And Renew Mental Wellness Clinic |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 1301 York Rd Ste 800, Lutherville Timonium, Maryland |
| Authorized Official Name and Position | Tamara Pottillo (OWNER) |
| Authorized Official Contact | 4437458620 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Release And Renew Mental Wellness Clinic 1301 York Rd Ste 800 Lutherville Timonium MD 21093-6011 Ph: (410) 376-8728 | Release And Renew Mental Wellness Clinic 1301 York Rd Ste 800 Lutherville Timonium MD 21093-6011 Ph: (410) 376-8728 |
| NPI Number | 1972216869 |
|---|---|
| Provider Enumeration Date | 01/05/2023 |
| Last Update Date | 07/19/2024 |
| Certification Date | 07/19/2024 |
| Medicare PECOS PAC ID | 6709323181 |
|---|---|
| Medicare Enrollment ID | O20240802001452 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972216869 | NPI | - | NPPES |
| Provider Name | Tamara Boyd Pottillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922717495 PECOS PAC ID: 3779923941 Enrollment ID: I20240802002161 |
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