MEDICARE: HAPPYNEST 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
1	261QM0855X	Adolescent and Children Mental Health Clinic/Center

General Provider Information

NPI Number	:	1962263673
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAPPYNEST LLC

Provider Business Mailing Address
First Line	:	5909 OSLO CT
Second Line	:
City	:	COLUMBIA
State	:	MD
Zip	:	21044-5735
Country	:	US
Telephone Number	:	443-267-7888
Fax Number	:

Provider Business Practice Location Address
First Line	:	5909 OSLO CT
Second Line	:
City	:	COLUMBIA
State	:	MD
Zip	:	21044-5735
Country	:	US
Telephone Number	:	443-267-7888
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CANDACE BEASLEY
Credential	:	LCPC
Telephone Number	:	443-267-7888

Provider Enumeration Date	:	01/19/2024
Last Update Date	:	01/19/2024

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Directions to “HAPPYNEST LLC ” Practice Location

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