# ALL JOSHUA, LLC

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

## Provider details

- **NPI number:** 1801458757
- **Authorized official:** HAWANYA TENE JERRY (MEDICAL BILLER)
- **Authorized official phone:** (443) 221-7447

## Contact information

- **Practice address:** 2568A RIVA RD STE 202, ANNAPOLIS, MD 21401-7456
- **Practice address phone:** (443) 221-7447
- **Practice address fax:** (443) 729-0620
- **Mailing address:** 2568A RIVA RD STE 202, ANNAPOLIS, MD 21401-7456
- **Mailing address phone:** (443) 221-7447
- **Mailing address fax:** (443) 729-0620

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 163WP0807X | Child & Adolescent Psychiatric/Mental Health Registered Nurse | — | — | — |
| 163WP0808X | Psychiatric/Mental Health Registered Nurse | — | — | Yes |
| 163WP0809X | Adult Psychiatric/Mental Health Registered Nurse | — | — | — |

## Other

- **Enumeration date:** 07/01/2019
- **Last updated:** 07/01/2019