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NPI Code Detail

MEDICARE: NEW HORIZON BEHAVIORAL & WELLNESS CENTER

MEDICARE: NEW HORIZON BEHAVIORAL & WELLNESS CENTER
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
1363LF0000XFamily Nurse Practitioner
2363LP0808XPsychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number : 1578305744
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEW HORIZON BEHAVIORAL & WELLNESS CENTER
Provider Business Mailing Address
First Line : 1400 MERCANTILE LN STE 242
Second Line :
City : LARGO
State : MD
Zip : 20774-5353
Country : US
Telephone Number : 301-381-2320
Fax Number :
Provider Business Practice Location Address
First Line : 1400 MERCANTILE LN STE 242
Second Line :
City : LARGO
State : MD
Zip : 20774-5353
Country : US
Telephone Number : 301-381-2320
Fax Number :
Authorized Official
Title or Position : PMHNP-BC, FNP-BC, CRNP
Name : DR. GRACE O. AKINPETIDE
Credential : PH.D., DNP
Telephone Number : 301-381-2320
Provider Enumeration Date : 06/10/2024
Last Update Date : 06/10/2024

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Directions to “NEW HORIZON BEHAVIORAL & WELLNESS CENTER ” Practice Location

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