| The Modalities Group 1 Llc | |
|
15480 Annapolis Rd Ste 202-148 Bowie MD 20715-1852 | |
| (240) 599-3500 | |
| (888) 818-6466 |
| Full Name | The Modalities Group 1 Llc |
|---|---|
| Speciality | Social Worker |
| Location | 15480 Annapolis Rd Ste 202-148, Bowie, Maryland |
| Authorized Official Name and Position | Dianna Mcfarlane (FOUNDER) |
| Authorized Official Contact | 3017109400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Modalities Group 1 Llc 15480 Annapolis Rd Ste 202-148 Bowie MD 20715-1852 Ph: (240) 599-3500 | The Modalities Group 1 Llc 15480 Annapolis Rd Ste 202-148 Bowie MD 20715-1852 Ph: (240) 599-3500 |
| NPI Number | 1215581814 |
|---|---|
| Provider Enumeration Date | 07/31/2019 |
| Last Update Date | 07/07/2025 |
| Certification Date | 07/07/2025 |
| Medicare PECOS PAC ID | 0648704338 |
|---|---|
| Medicare Enrollment ID | O20241118002807 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215581814 | NPI | - | NPPES |
| Provider Name | Latoya Mcquater |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457771222 PECOS PAC ID: 3173058864 Enrollment ID: I20241118002905 |
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