MEDICARE: ALBRYTE BEHAVIORAL HEALTH 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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1043060296
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALBRYTE BEHAVIORAL HEALTH LLC

Provider Business Mailing Address
First Line	:	6130 OXON HILL RD STE 101C
Second Line	:
City	:	OXON HILL
State	:	MD
Zip	:	20745-3166
Country	:	US
Telephone Number	:	240-414-4003
Fax Number	:

Provider Business Practice Location Address
First Line	:	6130 OXON HILL RD STE 101C
Second Line	:
City	:	OXON HILL
State	:	MD
Zip	:	20745-3166
Country	:	US
Telephone Number	:	240-414-4003
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ELIKEM E ADDAE
Credential	:
Telephone Number	:	703-485-5006

Provider Enumeration Date	:	03/22/2024
Last Update Date	:	03/22/2024

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