| Serenity And Peace Behavioral Health | |
|
1600 Orlando Rd Parkville MD 21234-5322 | |
| (410) 684-9432 | |
| Not Available |
| Full Name | Serenity And Peace Behavioral Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 1600 Orlando Rd, Parkville, Maryland |
| Authorized Official Name and Position | Pamela Dove (CRNP-PMH-BC) |
| Authorized Official Contact | 4106849432 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Serenity And Peace Behavioral Health 1600 Orlando Rd Parkville MD 21234-5322 Ph: (410) 684-9432 | Serenity And Peace Behavioral Health 1600 Orlando Rd Parkville MD 21234-5322 Ph: (410) 684-9432 |
| NPI Number | 1487390803 |
|---|---|
| Provider Enumeration Date | 05/09/2022 |
| Last Update Date | 11/01/2023 |
| Certification Date | 11/01/2023 |
| Medicare PECOS PAC ID | 8921455809 |
|---|---|
| Medicare Enrollment ID | O20231115000022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487390803 | NPI | - | NPPES |
| Provider Name | Pamela Dove |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316586662 PECOS PAC ID: 9830546712 Enrollment ID: I20231115000035 |
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