| Supreme Mental Wellness Limited Liability Company | |
|
8222 Schultz Rd Ste 102 Clinton MD 20735-2607 | |
| (240) 486-1560 | |
| Not Available |
| Full Name | Supreme Mental Wellness Limited Liability Company |
|---|---|
| Speciality | Clinic/Center |
| Location | 8222 Schultz Rd Ste 102, Clinton, Maryland |
| Authorized Official Name and Position | Olakunle Ayanwale (PRESIDENT) |
| Authorized Official Contact | 2404861560 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Supreme Mental Wellness Limited Liability Company 8222 Schultz Rd Ste 102 Clinton MD 20735-2607 Ph: (240) 486-1560 | Supreme Mental Wellness Limited Liability Company 8222 Schultz Rd Ste 102 Clinton MD 20735-2607 Ph: (240) 486-1560 |
| NPI Number | 1386477636 |
|---|---|
| Provider Enumeration Date | 08/22/2024 |
| Last Update Date | 08/22/2024 |
| Certification Date | 08/22/2024 |
| Medicare PECOS PAC ID | 3678006608 |
|---|---|
| Medicare Enrollment ID | O20241030001006 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386477636 | NPI | - | NPPES |
| Provider Name | Olakunle Idris Ayanwale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518314681 PECOS PAC ID: 0840689949 Enrollment ID: I20211111000048 |
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