Turnleaf Wellness Llc | |
7411 Riggs Rd Ste 108b Hyattsville MD 20783-4246 | |
(301) 235-9822 | |
Not Available |
Full Name | Turnleaf Wellness Llc |
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Speciality | Clinic/Center |
Location | 7411 Riggs Rd Ste 108b, Hyattsville, Maryland |
Authorized Official Name and Position | Tracy Agbor Eyong (OWNER) |
Authorized Official Contact | 2403776347 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Turnleaf Wellness Llc 7411 Riggs Rd Ste 108b Hyattsville MD 20783-4246 Ph: (301) 235-9822 | Turnleaf Wellness Llc 7411 Riggs Rd Ste 108b Hyattsville MD 20783-4246 Ph: (301) 235-9822 |
NPI Number | 1356167977 |
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Provider Enumeration Date | 11/27/2024 |
Last Update Date | 11/27/2024 |
Certification Date | 11/27/2024 |
Medicare PECOS PAC ID | 9335679059 |
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Medicare Enrollment ID | O20250211002179 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356167977 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Provider Name | Tracy Agbor Eyong |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1275075764 PECOS PAC ID: 7719213008 Enrollment ID: I20190724002084 |
Provider Name | Cornelia Elad |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205576501 PECOS PAC ID: 3779018700 Enrollment ID: I20241127000829 |
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