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NPI Code Detail

MEDICARE: CELINA OMENANKITI

MEDICARE:   CELINA  OMENANKITI
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
1101YM0800XMental Health CounselorLC15269MD

General Provider Information

NPI Number : 1649062019
Entity Type Code : Individual
Provider Name (Legal Business Name) : CELINA OMENANKITI
Provider Business Mailing Address
First Line : 7113 CLAYMORE AVE
Second Line :
City : HYATTSVILLE
State : MD
Zip : 20782-1022
Country : US
Telephone Number : 240-688-5095
Fax Number :
Provider Business Practice Location Address
First Line : 7113 CLAYMORE AVE
Second Line :
City : HYATTSVILLE
State : MD
Zip : 20782-1022
Country : US
Telephone Number : 240-688-5095
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2025
Last Update Date : 05/20/2025

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Directions to “ CELINA OMENANKITI ” Practice Location

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