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Organization
VISIONARY PROFESSIONAL HEALTHCARE SERVICES
Active
Organization
VISIONARY PROFESSIONAL HEALTHCARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SYLIVIA ACHOLONU (PRESIDENT)
(301) 377-9800
Entity
Organization
Contact information
Practice address
14114 JONES BRIDGE RD, UPPER MARLBORO, MD 20774-8860
(301) 377-9800
Mailing address
12138 CENTRAL AVE STE 777, MITCHELLVILLE, MD 20721-1910
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
03/09/2022
Last updated
03/09/2022
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