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Organization
AMICABLE BEHAVIORAL HEALTH LLC
Active
Organization
AMICABLE BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMAECHI IMELDA OLUMBA NURSE PRACTITIONER (PMHNP-NP)
(202) 403-9934
Entity
Organization
Contact information
Practice address
7310 GOVERNOR RITCHIE HWY STE 200-GB26, GLEN BURNIE, MD 21061-3065
(202) 403-9934
Mailing address
12311 GUINEVERE RD, GLENN DALE, MD 20769-8939
(202) 403-9934
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/11/2024
Last updated
09/03/2024
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