# AMICABLE BEHAVIORAL HEALTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396587226
- **Authorized official:** AMAECHI IMELDA OLUMBA NURSE PRACTITIONER (PMHNP-NP)
- **Authorized official phone:** (202) 403-9934

## Contact information

- **Practice address:** 7310 GOVERNOR RITCHIE HWY STE 200-GB26, GLEN BURNIE, MD 21061-3065
- **Practice address phone:** (202) 403-9934
- **Mailing address:** 12311 GUINEVERE RD, GLENN DALE, MD 20769-8939
- **Mailing address phone:** (202) 403-9934

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 06/11/2024
- **Last updated:** 09/03/2024