MEDICARE: HELP IS HERE SERVICES UNLIMITED, INC

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	103TC0700X	Clinical Psychologist

General Provider Information

NPI Number	:	1013406297
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HELP IS HERE SERVICES UNLIMITED, INC

Provider Business Mailing Address
First Line	:	2921 BROWN STATION RD
Second Line	:
City	:	UPPER MARLBORO
State	:	MD
Zip	:	20774-9268
Country	:	US
Telephone Number	:	240-396-8086
Fax Number	:

Provider Business Practice Location Address
First Line	:	1400 MERCANTILE LN STE 234
Second Line	:
City	:	UPPER MARLBORO
State	:	MD
Zip	:	20774-5353
Country	:	US
Telephone Number	:	240-396-8086
Fax Number	:

Authorized Official
Title or Position	:	OWNER/OPERATOR
Name	:	MRS. MAMIE L BYNUM
Credential	:	MSBA
Telephone Number	:	240-396-8086

Provider Enumeration Date	:	05/03/2018
Last Update Date	:	05/03/2018

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