MEDICARE: HANEI HEALTH SOLUTIONS, 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	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1407456098
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HANEI HEALTH SOLUTIONS, LLC

Provider Business Mailing Address
First Line	:	451 N HUNGERFORD DR
Second Line	:	STE 119 RM 114
City	:	ROCKVILLE
State	:	MD
Zip	:	20850
Country	:	US
Telephone Number	:	443-741-2488
Fax Number	:	561-584-7338

Provider Business Practice Location Address
First Line	:	9037 SHADY GROVE CT
Second Line	:
City	:	GAITHERSBURG
State	:	MD
Zip	:	20877-1301
Country	:	US
Telephone Number	:	443-741-2488
Fax Number	:	561-584-7338

Authorized Official
Title or Position	:	OWNER
Name	:	JUDDY MORGAN
Credential	:	CRNP
Telephone Number	:	786-246-7326

Provider Enumeration Date	:	10/31/2020
Last Update Date	:	03/02/2026

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Directions to “HANEI HEALTH SOLUTIONS, LLC ” Practice Location

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