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NPI Code Detail

MEDICARE: ABSOLUTE MENTAL HEALTHCARE LLC

MEDICARE: ABSOLUTE MENTAL HEALTHCARE LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner
2363LP0808XPsychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number : 1760126957
Entity Type Code : Organization
Provider Name (Legal Business Name) : ABSOLUTE MENTAL HEALTHCARE LLC
Provider Business Mailing Address
First Line : 11720 BELTSVILLE DR STE 500
Second Line :
City : BELTSVILLE
State : MD
Zip : 20705-3139
Country : US
Telephone Number : 301-448-5634
Fax Number :
Provider Business Practice Location Address
First Line : 11720 BELTSVILLE DR STE 500
Second Line :
City : BELTSVILLE
State : MD
Zip : 20705-3139
Country : US
Telephone Number : 301-448-5634
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DOCIA OWUSU
Credential : CRNP-PMHNP
Telephone Number : 301-448-5634
Provider Enumeration Date : 04/24/2022
Last Update Date : 03/17/2025

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Directions to “ABSOLUTE MENTAL HEALTHCARE LLC ” Practice Location

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