# PROBITY HEALTHCARE SERVICES & CLINIC, LLC

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

## Provider details

- **NPI number:** 1871086298
- **Authorized official:** MR. DOMINIC EZE (DIRECTOR)
- **Authorized official phone:** (301) 388-6091

## Contact information

- **Practice address:** 6201 GREENBELT RD STE U15, BERWYN HEIGHTS, MD 20740-2347
- **Practice address phone:** (301) 254-6807
- **Mailing address:** 207 SAINT MICHAELS CIR, ODENTON, MD 21113-1073
- **Mailing address phone:** (301) 254-6807

## 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:** 06/11/2018
- **Last updated:** 02/10/2020