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Organization
ESSENE BEHAVIORAL HEALTHCARE SERVICES
Active
Organization
ESSENE BEHAVIORAL HEALTHCARE SERVICES
Active
Other names
ESSENE BEHAVIORAL HEALTHCARE,LLC
Organization subpart
No
Provider details
NPI number
Authorized official
PRECIOUS ESENE MSN, CNP-PMH, PMHNP- (OWNER)
(240) 334-7174
Entity
Organization
Contact information
Practice address
14502 GREENVIEW DR STE 432, LAUREL, MD 20708-3287
(240) 334-7147
Mailing address
14502 GREENVIEW DR STE 432, LAUREL, MD 20708-3287
(240) 334-7147
(949) 655-6061
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/04/2023
Last updated
04/19/2024
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