Organization
SEAMAGTEK HEALTHCARE SERVICES, L.L.C.
Active
Other names
MD Telepsychiatric Center, L.L.C.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERNESTINE M ENOHMBI DNP, CRNP-FAMILY, CR (PARTNER)
(240) 349-6300
Entity
Organization
Contact information
Practice address
4600 POWDER MILL RD STE 450-W, BELTSVILLE, MD 20705-2675
(240) 349-6300
(979) 606-0062
Mailing address
13807 CLARKWOOD LN, LAUREL, MD 20707-9437
(240) 264-8120
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
363L00000X
Nurse Practitioner
—
—
363LC1500X
Community Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124654652
—
MD
05
—
1790393056
—
MD
Enumeration date
03/16/2020
Last updated
07/05/2022
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