Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
LEGACY MEDICAL CLINIC WITH MENTAL HEALTH, LLC
Active
Organization
LEGACY MEDICAL CLINIC WITH MENTAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHUKS E NWAULU DNP, PMHNP-BC (OWNER OF THE ENTITY)
(301) 880-4900
Entity
Organization
Contact information
Practice address
4700 STAMP RD STE K, TEMPLE HILLS, MD 20748-6717
(301) 880-4900
(301) 477-4673
Mailing address
9509 MANOR OAKS VW, UPPER MARLBORO, MD 20772-3192
(301) 880-4900
(301) 477-4673
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
08/13/2020
Last updated
08/13/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers