| Soul-care Behavioral Health Services Llc | |
|
6915 Annapolis Rd Hyattsville MD 20784-2125 | |
| (301) 503-2128 | |
| Not Available |
| Full Name | Soul-care Behavioral Health Services Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 6915 Annapolis Rd, Hyattsville, Maryland |
| Authorized Official Name and Position | Regina Michael (PROVIDER) |
| Authorized Official Contact | 3015032128 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Soul-care Behavioral Health Services Llc 6915 Annapolis Rd Hyattsville MD 20784-2125 Ph: (301) 503-2128 | Soul-care Behavioral Health Services Llc 6915 Annapolis Rd Hyattsville MD 20784-2125 Ph: (301) 503-2128 |
| NPI Number | 1578254884 |
|---|---|
| Provider Enumeration Date | 05/17/2023 |
| Last Update Date | 05/17/2023 |
| Certification Date | 05/17/2023 |
| Medicare PECOS PAC ID | 3779944905 |
|---|---|
| Medicare Enrollment ID | O20230803001723 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578254884 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Regina N Michael |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447823091 PECOS PAC ID: 4587025804 Enrollment ID: I20230803000831 |
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